Individual
MELISSA LEIGH TERPSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
206 SPRINGCREST DR, FORT MILL, SC 29715-7306
(803) 746-4655
(803) 746-7807
Mailing address
206 SPRINGCREST DR, FORT MILL, SC 29715-7306
(803) 746-4655
(803) 746-7807
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13640
NC
225100000X
Physical Therapist
32072
CA
225100000X
Physical Therapist
Primary
6687
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13640
NORTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS
NC
01
—
32072
LICENSE
CA
01
—
6687
STATE OF SOUTH CAROLINA, DEPARTMENT OF LABOR, LICENSING AND REGULATION
SC
Enumeration date
05/24/2007
Last updated
08/14/2012
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