Provider Demographics
NPI:1821376203
Name:CAPUTO, TERI
Entity Type:Individual
Prefix:
First Name:TERI
Middle Name:
Last Name:CAPUTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 WALPOLE ST
Mailing Address - Street 2:STE 5
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3341
Mailing Address - Country:US
Mailing Address - Phone:781-762-0050
Mailing Address - Fax:781-762-0059
Practice Address - Street 1:49 WALPOLE ST
Practice Address - Street 2:STE 5
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3341
Practice Address - Country:US
Practice Address - Phone:781-762-0050
Practice Address - Fax:781-762-0059
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19560225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist