Sackmaster, Teresa J

Sackmaster, Teresa J is an sole proprietor health care provider with primary practice located at 111 Nature Walk Parkway Suite 101, St Augustine FL 32092. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Sackmaster, Teresa J can be contacted via phone (904) 230-7761.

Contact Information

Primary practice address
111 Nature Walk Parkway Suite 101 St Augustine FL 32092
Phone: (904) 230-7761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA 20511 Florida

Profile Details

NPI number 1710031364
LBN Legal business name Sackmaster, Teresa J
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710031364 NPPES
Florida Other PTA20511 PTA ASSISTANT LICENSE

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