Provider Demographics
NPI:1861667610
Name:BARRETT DOWER, TERESA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:MARIE
Last Name:BARRETT DOWER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:TERESA
Other - Middle Name:MARIE
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1724 WOODLAWN DR STE 7
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-4002
Mailing Address - Country:US
Mailing Address - Phone:410-265-9911
Mailing Address - Fax:410-265-9914
Practice Address - Street 1:1724 WOODLAWN DR STE 7
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-4002
Practice Address - Country:US
Practice Address - Phone:410-265-9911
Practice Address - Fax:410-265-9914
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01612111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor