Provider Demographics
NPI:1053564229
Name:ROWCROFT, THERESE MAUREEN (PT)
Entity type:Individual
Prefix:MS
First Name:THERESE
Middle Name:MAUREEN
Last Name:ROWCROFT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BARTOW ST
Mailing Address - Street 2:
Mailing Address - City:CATSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12414-1046
Mailing Address - Country:US
Mailing Address - Phone:518-943-3250
Mailing Address - Fax:
Practice Address - Street 1:2395 ROUTE 23B
Practice Address - Street 2:
Practice Address - City:SOUTH CAIRO
Practice Address - State:NY
Practice Address - Zip Code:12482-1220
Practice Address - Country:US
Practice Address - Phone:518-522-8382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4203225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist