Individual
MARISA JEAN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8391 N DAVIS HWY, PENSACOLA, FL 32514-6048
(872) 231-3162
Mailing address
PO BOX 734951, CHICAGO, IL 60673-4951
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
55801
MN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME127530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018020600
—
FL
Enumeration date
05/25/2011
Last updated
12/17/2025
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