Provider Demographics
NPI:1548232721
Name:FELTWELL, DAVID NOEL (MPT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:NOEL
Last Name:FELTWELL
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8910 GRANDSTAFF CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-1119
Mailing Address - Country:US
Mailing Address - Phone:703-644-0409
Mailing Address - Fax:
Practice Address - Street 1:PHYSICAL THERAPY SECTION
Practice Address - Street 2:DILORENZO TRICARE HEALTH CLINIC
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20310-0001
Practice Address - Country:US
Practice Address - Phone:703-692-8982
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0400003330225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist