Individual
MRS. STEPHENIA D TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1441 HIGHWAY 62-412, HARDY, AR 72542
(870) 856-9675
(870) 856-9679
Mailing address
1441 HIGHWAY 62-412, HARDY, AR 72542
(870) 856-9675
(870) 856-9679
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2125
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134409721
—
AR
01
—
5X069
ARKANSAS BLUE CROSS
AR
Enumeration date
10/12/2005
Last updated
02/12/2008
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