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Individual
MR. TERRY LEROY GUPTILL
Active
Individual
MR. TERRY LEROY GUPTILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008222
WA
225100000X
Physical Therapist
PT1541
ID
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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