Doctor Name: | GERALYNN ANN FELICETTA |
NPI Number: | 1558539171 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AP, PT |
License Number: | PT51465 |
Business Practice Address: | 1250 Tamiami Trl N Suite 112 Naples, FL - 341025248 |
Business Phone Number: | 2394046306 |
Business Fax Number: | 2394046306 |
Mailing Address: | 1250 Tamiami Trl N, Suite 112 NAPLES |
State: | FL |
Postal Code: | 341025248 |
Phone Number: | 2394046306 |
Fax Number: | 2394046306 |
NPI Enumeration Date: | 02/17/2008 |
NPI Last Update Date: | 11/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT51465 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |