Provider Demographics
NPI:1376601849
Name:KASPAR, TERESA CURTIS (AT, C)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:CURTIS
Last Name:KASPAR
Suffix:
Gender:F
Credentials:AT, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:758 HACIENDA DR
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-5214
Mailing Address - Country:US
Mailing Address - Phone:805-484-7612
Mailing Address - Fax:818-348-6854
Practice Address - Street 1:7301 MEDICAL CENTER DR STE 102
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1917
Practice Address - Country:US
Practice Address - Phone:818-340-8320
Practice Address - Fax:818-348-6854
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer