Provider Demographics
NPI:1831155316
Name:MAHAFFIE, TERESA SHIRLEY (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:SHIRLEY
Last Name:MAHAFFIE
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Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:2440 OSBORNE ROAD
Mailing Address - Street 2:COASTAL ORTHOPEDIC REHABILITATION CENTER
Mailing Address - City:ST MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558
Mailing Address - Country:US
Mailing Address - Phone:912-882-3673
Mailing Address - Fax:912-882-3640
Practice Address - Street 1:2440 OSBORNE ROAD
Practice Address - Street 2:COASTAL ORTHOPEDIC REHABILITATION CENTER
Practice Address - City:ST MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558
Practice Address - Country:US
Practice Address - Phone:912-882-3673
Practice Address - Fax:912-882-3640
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA2726225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist