Mrs. Theresa M Demer
Physical Therapist - Pediatrics
171 Intrepid Ln
Syracuse
, New York 13205-2548
Mrs. Theresa M Demer
Physical Therapist - Pediatrics
171 Intrepid Ln
Syracuse
, New York 13205-2548
(315) 437-4698
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Theresa M Demer
- 171 Intrepid Ln
- Syracuse, NY
- Zip : 13205-2548
- Fax : (315) 437-4698
- Phone : (315) 437-4689
Second Address
- Mrs. Theresa M Demer
- 171 Intrepid Ln
- Syracuse, NY
- Zip : 13205-2548
- Fax : (315) 437-4698
- Phone : (315) 437-4689
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 015228-1 | NY |
National Provider Identifier
| NPI | 1124273487 |
|---|---|
| Provider Name | Mrs. Theresa M Demer |
| First Address | Syracuse, NY 13205-2548 |
| Second Address | Syracuse, NY 13205-2548 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2008 |
| Last Update Date | 28/11/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.