Teresa Stanaback
Occupational Therapist - Physical Rehabilitation
9441 Lbj Freeway Suite 602
Dallas
, Texas 75243
Teresa Stanaback
Occupational Therapist - Physical Rehabilitation
9441 Lbj Freeway Suite 602
Dallas
, Texas 75243
(409) 392-1105
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Teresa Stanaback
- 10905 Ne 48th St
- Kirkland, WA
- Zip : 98033-7704
- Phone : (409) 392-1105
Second Address
- Teresa Stanaback
- 9441 Lbj Freeway Suite 602
- Dallas,, TX
- Zip : 75243
- Fax : (887) 778-7505
- Phone : (469) 249-1883
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 110025 | TX |
| N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT60579322 | WA |
National Provider Identifier
| NPI | 1164899779 |
|---|---|
| Provider Name | Teresa Stanaback |
| First Address | Kirkland, WA 98033-7704 |
| Second Address | Dallas,, TX 75243 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2015 |
| Last Update Date | 31/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110025 | ECPTOTE (01) | TX |
| OT 60579322 | WASHINGTON STATE DEPARTMENT OF HEALTH (01) | WA |
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.