Individual
MR. TERRY LEE FELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
W20754 US HIGHWAY 10, STRUM, WI 54770
(715) 450-0744
Mailing address
W20754 US HIGHWAY 10, STRUM, WI 54770
(715) 450-0744
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WI
Other
Enumeration date
09/02/2018
Last updated
09/02/2018
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