SearchNew York225100000X

Theresa Devereaux, P.T

NPI 1316213523 · on the registry since 2012 · sole proprietor

Practice

Address
22121 Corbett Rd
Bayside, NY 11361
Phone
(718) 225-8667
Fax
(718) 225-9694
Clinicians at this address
4

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York