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Individual
PETER TERILLI
Active
Individual
PETER TERILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01684000
NJ
2255A2300X
Athletic Trainer
002214
NY
2255A2300X
Athletic Trainer
25MT00221600
NJ
Other
Enumeration date
05/18/2015
Last updated
10/31/2016
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