Provider Demographics
NPI:1427340298
Name:OXENTENKO-MAIER, TERRESA (MSPT)
Entity type:Individual
Prefix:
First Name:TERRESA
Middle Name:
Last Name:OXENTENKO-MAIER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:674 FORGE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-7417
Mailing Address - Country:US
Mailing Address - Phone:540-521-2984
Mailing Address - Fax:
Practice Address - Street 1:674 FORGE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-7417
Practice Address - Country:US
Practice Address - Phone:540-521-2984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203805225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist