Provider Demographics
NPI:1760606727
Name:WINDER, TERESA ANN (OTR)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:ANN
Last Name:WINDER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DONOVAN CT
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:MD
Mailing Address - Zip Code:21758-9028
Mailing Address - Country:US
Mailing Address - Phone:240-422-0211
Mailing Address - Fax:
Practice Address - Street 1:1 DONOVAN CT
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:MD
Practice Address - Zip Code:21758-9028
Practice Address - Country:US
Practice Address - Phone:240-415-1942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2020-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02293225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist