Individual
MR. TERRENCE JOSEPH DESPOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3 DUDLEY ST, MARTINSVILLE, VA 24112-1905
(276) 666-4510
(276) 632-6884
Mailing address
3 DUDLEY ST, MARTINSVILLE, VA 24112-1905
(276) 666-4510
(276) 632-6884
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000628
VA
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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