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Contact Information

THERESA C DEVEREAUX, PT
22121 CORBETT RD
BAYSIDE, NY11361-2242
 Phone: 718-225-8667
 Fax: 718-225-9694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for THERESA C DEVEREAUX · (Female)

NPI Number 1316213523
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 04/02/2012
Last updated 04/02/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 006351-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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