Provider Demographics
NPI:1679883516
Name:TOWNS, FELICIA DANETTE
Entity Type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:DANETTE
Last Name:TOWNS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10510 S UNION AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60628-2315
Mailing Address - Country:US
Mailing Address - Phone:773-821-9665
Mailing Address - Fax:773-821-9663
Practice Address - Street 1:10510 S UNION AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60628-2315
Practice Address - Country:US
Practice Address - Phone:773-821-9665
Practice Address - Fax:773-821-9663
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist