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Individual
MR. GUY L. TERRY
Active
Individual
MR. GUY L. TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10035116
AMERIGROUP FACILITY
TX
01
—
10035118
AMERIGROUP INDIVIDUAL
TX
05
—
173756101
—
TX
05
—
174753701
—
TX
01
—
8T3290
BCBS PROVIDER
TX
Enumeration date
10/05/2006
Last updated
07/24/2008
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