Provider Demographics
NPI:1700882453
Name:FEINBLOOM, DEVORAH LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:DEVORAH
Middle Name:LYNN
Last Name:FEINBLOOM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 LEWIS RD
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-2329
Mailing Address - Country:US
Mailing Address - Phone:781-367-7723
Mailing Address - Fax:
Practice Address - Street 1:10 SPRING ST
Practice Address - Street 2:
Practice Address - City:MARBLEHEAD
Practice Address - State:MA
Practice Address - Zip Code:01945-3314
Practice Address - Country:US
Practice Address - Phone:781-639-0010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA783111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor