Provider Demographics
NPI:1093954703
Name:ROWIN, TESSA BAKER (DPT)
Entity Type:Individual
Prefix:
First Name:TESSA
Middle Name:BAKER
Last Name:ROWIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PARKMAN ST
Mailing Address - Street 2:PHYSICAL THERAPY SERVICES WACC 128
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3117
Mailing Address - Country:US
Mailing Address - Phone:617-643-5234
Mailing Address - Fax:617-726-2957
Practice Address - Street 1:15 PARKMAN ST
Practice Address - Street 2:PHYSICAL THERAPY SERVICES WACC 128
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-643-5234
Practice Address - Fax:617-726-2957
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18539225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist