Provider Demographics
NPI:1255333449
Name:ADLER, TERRI L (PT)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:L
Last Name:ADLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7049 W HARCUVAR DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-1428
Mailing Address - Country:US
Mailing Address - Phone:520-797-2090
Mailing Address - Fax:520-797-3138
Practice Address - Street 1:1880 W ORANGE GROVE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1129
Practice Address - Country:US
Practice Address - Phone:520-797-2090
Practice Address - Fax:520-797-3138
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ59592251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ2048389OtherFIRST HEALTH
AZ5688OtherHEALTH NET
AZ0461270OtherBLUE CROSS BLUE SHIELD
AZ73075Medicare PIN
AZP81734Medicare UPIN