Individual
MRS. JENNY MUSSELWHITE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 APPLING WAY, DURHAM, NC 27703-9277
(919) 596-2120
Mailing address
3015 APPLING WAY, DURHAM, NC 27703-9277
(919) 596-2120
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301744
—
NC
Enumeration date
07/31/2008
Last updated
07/31/2008
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