Provider Demographics
NPI:1730268335
Name:DOWNEY, TERESA A (PT, DPT)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:A
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 ANGUS WAY
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02632-1801
Mailing Address - Country:US
Mailing Address - Phone:508-776-5741
Mailing Address - Fax:
Practice Address - Street 1:1600 FALMOUTH RD
Practice Address - Street 2:UNIT 34
Practice Address - City:CENTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02632-2939
Practice Address - Country:US
Practice Address - Phone:508-775-0060
Practice Address - Fax:508-775-3667
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20298225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist