NPI | 1417178856 |
---|---|
Other Name | BILL TERRY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: SC 1671) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 001975) |
2251G0304X Physical Therapist, Geriatrics (Licence: GA PT010969) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2014-10-05 |