Provider Demographics
NPI:1427232859
Name:VEIGA, TERRI L
Entity Type:Individual
Prefix:MS
First Name:TERRI
Middle Name:L
Last Name:VEIGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-2448
Mailing Address - Country:US
Mailing Address - Phone:805-489-5591
Mailing Address - Fax:805-489-5987
Practice Address - Street 1:1460 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-2448
Practice Address - Country:US
Practice Address - Phone:805-489-5591
Practice Address - Fax:805-489-5987
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6106270001Medicare NSC