Provider Demographics
NPI:1366679391
Name:FELDMANN, ERIN ANN (MOT, OTR)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ANN
Last Name:FELDMANN
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6824 SKULL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78940-5056
Mailing Address - Country:US
Mailing Address - Phone:512-557-5114
Mailing Address - Fax:
Practice Address - Street 1:1700 E STONE ST
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5150
Practice Address - Country:US
Practice Address - Phone:979-830-1996
Practice Address - Fax:979-251-9536
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111034225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist