Individual
TERESA MARIE MCNEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6000 E ILIFF AVE, DENVER, CO 80222-5721
(303) 157-4216
Mailing address
301 RIDINGS AVE, MOLALLA, OR 97038-9201
(303) 619-4486
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 343
CA
313M00000X
Nursing Facility/Intermediate Care Facility
AT 343
CA
Other
Enumeration date
08/27/2008
Last updated
01/27/2010
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