Individual
MS. LATEFA NICHELLE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
120 W VILLANOW ST, LA FAYETTE, GA 30728-2463
(706) 638-5983
Mailing address
4519 LOCKSLEY LN, CHATTANOOGA, TN 37416-2913
(423) 490-1295
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6870
GA
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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