Provider Demographics
NPI:1730403171
Name:BARNEY, TERESA M (PTA)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:M
Last Name:BARNEY
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 NORWEST DR
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-1484
Mailing Address - Country:US
Mailing Address - Phone:614-395-5341
Mailing Address - Fax:
Practice Address - Street 1:333 NAHANTON ST
Practice Address - Street 2:
Practice Address - City:NEWTON CENTER
Practice Address - State:MA
Practice Address - Zip Code:02459-3213
Practice Address - Country:US
Practice Address - Phone:617-559-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-14
Last Update Date:2010-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8347225200000X
OH06973225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant