Provider Demographics
NPI:1649399353
Name:HAUPT, TERRI LEIGH (PT)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:LEIGH
Last Name:HAUPT
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 1:90 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-3655
Mailing Address - Country:US
Mailing Address - Phone:412-331-3560
Mailing Address - Fax:
Practice Address - Street 1:90 GRANT ST
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-3655
Practice Address - Country:US
Practice Address - Phone:412-331-3560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005660L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPT005660LOtherPT