Provider Demographics
NPI:1699557793
Name:DRIVER, THERESA MARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:MARIE
Last Name:DRIVER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:MARIE
Other - Last Name:GEIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:231 BIRCH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-1516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16695 CHILLICOTHE RD
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-4578
Practice Address - Country:US
Practice Address - Phone:440-996-0519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist