Individual
MS. JOANN M TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1400 GLORIA TERRELL DRIVE, SUITE G, WILDER, KY 41076-9189
(859) 781-2800
(859) 781-3500
Mailing address
6223 MAPLE RIDGE DR., TAYLOR MILL, KY 41015-4441
(859) 431-5779
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
001310
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700148300
—
KY
Enumeration date
06/27/2005
Last updated
07/09/2007
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