Provider Demographics
NPI:1346525581
Name:AIRINEI-TEEL, ROXANA MIHAELA (PT)
Entity Type:Individual
Prefix:MS
First Name:ROXANA
Middle Name:MIHAELA
Last Name:AIRINEI-TEEL
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 1:2 THE SQUARE AT LILLINGTON
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-8030
Mailing Address - Country:US
Mailing Address - Phone:910-893-2850
Mailing Address - Fax:888-867-7402
Practice Address - Street 1:133 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:ERWIN
Practice Address - State:NC
Practice Address - Zip Code:28339-9106
Practice Address - Country:US
Practice Address - Phone:910-891-2432
Practice Address - Fax:919-313-1276
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033552225100000X
NC16363225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist