Individual
KELLY TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1 BRADLEY FOSTER DR, HUNTINGTON, WV 25701-9448
(304) 525-3561
Mailing address
2310 DOCKS CREEK RD, KENOVA, WV 25530-9747
(304) 453-5235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002183
WV
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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