Provider Demographics
NPI:1043012826
Name:BROOKS, TEREENA (DPT, PT)
Entity type:Individual
Prefix:
First Name:TEREENA
Middle Name:
Last Name:BROOKS
Suffix:
Gender:
Credentials:DPT, PT
Other - Prefix:
Other - First Name:TEREENA
Other - Middle Name:
Other - Last Name:BROOKS-EMORY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:412 GRANVILLE CT
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-2588
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:744 S PHILADELPHIA BLVD STE C
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-3655
Practice Address - Country:US
Practice Address - Phone:410-339-1951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30329225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist