Individual
TERRY L ISOM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 APPIAN WAY STE 101, PINOLE, CA 94564-2524
(510) 724-1248
Mailing address
1024 REVEREND NATHANIEL L HARRIS ST, MELBOURNE, FL 32901-7226
(321) 505-8010
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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