Provider Demographics
NPI:1518142256
Name:CALIBEY, THERESA M (OT)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:M
Last Name:CALIBEY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:M
Other - Last Name:CAPPELLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OT
Mailing Address - Street 1:1885 EWING RD
Mailing Address - Street 2:
Mailing Address - City:COCHRANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19330-1656
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55A S MEADOWOOD DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-6755
Practice Address - Country:US
Practice Address - Phone:302-454-3403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC002198L225X00000X
DEJ10000073225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist