Provider Demographics
NPI:1003866492
Name:HASKINS, TERI (OTR, CHT)
Entity Type:Individual
Prefix:
First Name:TERI
Middle Name:
Last Name:HASKINS
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:TERI
Other - Middle Name:
Other - Last Name:FEYH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3491 PLEASANT VALE DR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-5556
Mailing Address - Country:US
Mailing Address - Phone:760-415-1886
Mailing Address - Fax:951-506-3002
Practice Address - Street 1:1922 HACIENDA DR
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-6024
Practice Address - Country:US
Practice Address - Phone:760-295-4175
Practice Address - Fax:760-295-4176
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4459225XH1200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB264650Medicare PIN
CAWOT4459CMedicare PIN