Provider Demographics
NPI:1942919733
Name:DADD, TERESE
Entity Type:Individual
Prefix:
First Name:TERESE
Middle Name:
Last Name:DADD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TERESE
Other - Middle Name:
Other - Last Name:REICHENBACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10836 NW 46TH DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-2133
Mailing Address - Country:US
Mailing Address - Phone:954-605-1138
Mailing Address - Fax:
Practice Address - Street 1:10836 NW 46TH DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-2133
Practice Address - Country:US
Practice Address - Phone:954-605-1138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist