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Individual

PETER TERREBONNE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
650 JOEL DR OFC, FORT CAMPBELL, KY 42223-5318
(270) 798-8727
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8727

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12402
TN

Other

Enumeration date
08/26/2019
Last updated
02/07/2020
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