Provider Demographics
NPI:1245443019
Name:GUETH, TERESA HITE (MS OTRL)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:HITE
Last Name:GUETH
Suffix:
Gender:F
Credentials:MS OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9875 GLENEAGLE PL
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-8767
Mailing Address - Country:US
Mailing Address - Phone:614-975-6777
Mailing Address - Fax:
Practice Address - Street 1:9875 GLENEAGLE PL
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-8767
Practice Address - Country:US
Practice Address - Phone:614-975-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH000575225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist