Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 180368-1204 | UT |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | OS019876 | PA |
NPI | 1013924158 |
---|---|
Provider Name | Teresa L Such-Neibar |
First Address | Hershey, PA 17033-0858 |
Second Address | Hummelstown, PA 17036-9188 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 29/03/2019 |