Provider Demographics
NPI:1245063403
Name:FELKOWSKI, AFTIN NICHOLE (OTR)
Entity type:Individual
Prefix:
First Name:AFTIN
Middle Name:NICHOLE
Last Name:FELKOWSKI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 EDWARD ST
Mailing Address - Street 2:
Mailing Address - City:DURYEA
Mailing Address - State:PA
Mailing Address - Zip Code:18642-1200
Mailing Address - Country:US
Mailing Address - Phone:570-540-9306
Mailing Address - Fax:
Practice Address - Street 1:320 EDWARD ST
Practice Address - Street 2:
Practice Address - City:DURYEA
Practice Address - State:PA
Practice Address - Zip Code:18642-1200
Practice Address - Country:US
Practice Address - Phone:570-540-9306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist