Provider Demographics
NPI:1215935804
Name:SCHREIBER, TERESA RENEE (MA, OTR, CHT)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:RENEE
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:MA, OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 BROOK AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-5604
Mailing Address - Country:US
Mailing Address - Phone:940-766-1515
Mailing Address - Fax:940-766-1539
Practice Address - Street 1:1500 BROOK AVE
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-5604
Practice Address - Country:US
Practice Address - Phone:940-766-1515
Practice Address - Fax:940-766-1539
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103539225X00000X, 225XE1200X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand