Provider Demographics
NPI:1417908096
Name:BUCHHOLZ, TERRI RENE (PT)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:RENE
Last Name:BUCHHOLZ
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 1:117 EAGLE POINTE DR
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-9251
Mailing Address - Country:US
Mailing Address - Phone:803-932-2707
Mailing Address - Fax:
Practice Address - Street 1:117 EAGLE POINTE DR
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-9251
Practice Address - Country:US
Practice Address - Phone:803-932-2707
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4799225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist