Provider Demographics
NPI:1578609491
Name:MILLER, TERESA MARIE (PT, PHD, CFP)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:MARIE
Last Name:MILLER
Suffix:
Gender:F
Credentials:PT, PHD, CFP
Other - Prefix:MS
Other - First Name:TERESA
Other - Middle Name:MARIE
Other - Last Name:HOEBERLEIN-MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, MS, CFP
Mailing Address - Street 1:511 CALEDONIA RD
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-7713
Mailing Address - Country:US
Mailing Address - Phone:631-427-0962
Mailing Address - Fax:631-427-3083
Practice Address - Street 1:511 CALEDONIA RD
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-7713
Practice Address - Country:US
Practice Address - Phone:631-427-0962
Practice Address - Fax:631-427-3083
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007046225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist