Provider Demographics
NPI:1750998720
Name:SKYBAN, TERESA MARIE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:MARIE
Last Name:SKYBAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 RITTENHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1216
Mailing Address - Country:US
Mailing Address - Phone:302-373-0845
Mailing Address - Fax:
Practice Address - Street 1:233 E KING ST STE 103
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-2574
Practice Address - Country:US
Practice Address - Phone:484-318-7241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
PAPT031979225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist