Provider Demographics
NPI:1821235367
Name:BISSON, TERESA ANN (PT, MSPT, NCS, ATP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:ANN
Last Name:BISSON
Suffix:
Gender:F
Credentials:PT, MSPT, NCS, ATP
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:ANN
Other - Last Name:OKRASZEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE STREET SE
Mailing Address - Street 2:MMC 388
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-624-2364
Mailing Address - Fax:
Practice Address - Street 1:2200 UNIVERSITY AVE W STE 140
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1844
Practice Address - Country:US
Practice Address - Phone:612-672-2815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-20
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT27495225100000X
MN98932251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist