Individual
MRS. DANIELLE ELIZABETH TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
709 CRESCENT CIR, CANTON, GA 30115-4772
(678) 462-1342
Mailing address
424 CREEKSTONE RDG, WOODSTOCK, GA 30188-3740
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
02/19/2015
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