Individual
TERRY KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E CHURCH ST, BLACKWOOD, NJ 08012-3910
(609) 703-1521
Mailing address
8030 DITMAN ST APT 55, PHILADELPHIA, PA 19136-4423
(267) 809-5556
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01090300
NJ
225X00000X
Occupational Therapist
OC004673L
PA
Other
Enumeration date
04/18/2007
Last updated
05/02/2026
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