A Tee piece that functions as device to direct dual, alternating respiratory therapies to a patient. It has a centrally located low pressure actuated one way valve that connects the inhalation and exhalation paths to the specific therapy devices. The gravity hung valve has a low pressure activation and an offset, angled seat that allows the valve itself to be completely removed from the path of the medicated aerosol particles so as to minimize the potential for particle condensation by collision with the valve. The valve forms a holding chamber for the medicated aerosol increasing the efficiency of the nebulizer cycle. The physical design of the Tee pieces outside surface prevents reverse connection, which is a common problem and the oval shape of the PEP port eliminates blow-off of the PEP device by excessive back pressure.
