Provider Demographics
NPI:1346523420
Name:CRAMER, TERESA MARIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:MARIE
Last Name:CRAMER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:TERESA
Other - Middle Name:M
Other - Last Name:CRAMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:6234 MCKNIGHT DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90713-2026
Mailing Address - Country:US
Mailing Address - Phone:562-572-7274
Mailing Address - Fax:
Practice Address - Street 1:6234 MCKNIGHT DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90713-2026
Practice Address - Country:US
Practice Address - Phone:562-572-7274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-24
Last Update Date:2011-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA148002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic