Provider Demographics
NPI:1053430009
Name:FELDMAN, CYNDY ANN (PT, MPT, GCS)
Entity type:Individual
Prefix:
First Name:CYNDY
Middle Name:ANN
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:PT, MPT, GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 SMITH DR
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1740
Mailing Address - Country:US
Mailing Address - Phone:410-349-0259
Mailing Address - Fax:
Practice Address - Street 1:84 OLD MILL BOTTOM RD N
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21409-5418
Practice Address - Country:US
Practice Address - Phone:410-757-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16538225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist