Stanaback, Teresa

Stanaback, Teresa is an sole proprietor health care provider with primary practice located at 9441 Lbj Freeway Suite 602, Dallas, TX 75243. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Stanaback, Teresa can be contacted via phone (469) 249-1883.

Contact Information

Primary practice address
9441 Lbj Freeway Suite 602 Dallas, TX 75243
Phone: (469) 249-1883
Fax: (887) 778-7505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 110025 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X OT60579322 Washington

Profile Details

NPI number 1164899779
LBN Legal business name Stanaback, Teresa
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2015
Last updated Aug 31st, 2015 - about 9 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 1164899779 NPPES
Texas Other 110025 ECPTOTE
Texas Other OT 60579322 ECPTOTE

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