Individual
JOHN RALPH LERRO JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
142 BERMUDA VILLAGE DR, ADVANCE, NC 27006-7867
(336) 588-1016
Mailing address
153 CALLA LILLY LN, KERNERSVILLE, NC 27284-2473
(336) 223-3706
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3114
NC
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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