Individual
TERRY LOUISE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3107
Mailing address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3479
CA
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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