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Individual
MR. TERRY L JOLLIFF
Active
Individual
MR. TERRY L JOLLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10483
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1442035
BWC
OH
05
—
2495590
—
OH
Enumeration date
12/20/2005
Last updated
04/22/2010
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