Provider Demographics
NPI:1184051864
Name:FEINBERG, JOY ELYN (MA, OTR/L)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:ELYN
Last Name:FEINBERG
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3312 POMEROL DRIVE
Mailing Address - Street 2:#301
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-9421
Mailing Address - Country:US
Mailing Address - Phone:561-557-1716
Mailing Address - Fax:
Practice Address - Street 1:3312 POMEROL DR
Practice Address - Street 2:#301
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-9402
Practice Address - Country:US
Practice Address - Phone:561-557-1716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 15712225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist