Organization
TERWILLEGER THERAPY TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG TERWILLEGER OTR/L (OCCUPATIONAL THERAPIST)
(816) 724-1157
Entity
Organization
Contact information
Practice address
2105 PRAIRIE CREEK DR, KEARNEY, MO 64060-7628
(816) 724-1157
Mailing address
2105 PRAIRIE CREEK DR, KEARNEY, MO 64060-7628
(816) 724-1157
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2001014538
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475694717
—
MO
Enumeration date
08/03/2016
Last updated
08/03/2016
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