Provider Demographics
NPI:1437462520
Name:FEELEY, THERESA MARY (DPT)
Entity Type:Individual
Prefix:DR
First Name:THERESA
Middle Name:MARY
Last Name:FEELEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1372 ROUTE 9
Mailing Address - Street 2:BUILDING #2
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-4038
Mailing Address - Country:US
Mailing Address - Phone:732-240-9296
Mailing Address - Fax:732-473-1601
Practice Address - Street 1:3 PARAGON WAY
Practice Address - Street 2:#250
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-9575
Practice Address - Country:US
Practice Address - Phone:732-431-2883
Practice Address - Fax:732-431-2865
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ40QA01252400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist