Provider Demographics
NPI:1285186502
Name:FELD, EDITH ISADORA (OTR/L)
Entity Type:Individual
Prefix:
First Name:EDITH
Middle Name:ISADORA
Last Name:FELD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2435 WHOLESOME TER
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-5904
Mailing Address - Country:US
Mailing Address - Phone:702-379-8458
Mailing Address - Fax:
Practice Address - Street 1:2435 WHOLESOME TER
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5904
Practice Address - Country:US
Practice Address - Phone:702-379-8458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-03
Last Update Date:2021-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics