TERRY DESPER

BECKLEY, WV
NPI1972288595
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  001194)
Enumeration Date2023-06-20
Last Update Date2023-06-20
Business Address
TERRY DESPER PTA
112 MELLON ST
BECKLEY, WV 25801-3536
Phone number: 304-255-5263
Mailing Address
TERRY DESPER PTA
5231 WEBSTER RD
UPPERGLADE, WV 26266-9713
Phone number: 304-644-6153