Individual
AMANDA TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 HWY 98 WEST, SUMMIT, MS 39666
(601) 276-3900
Mailing address
8781 CHAPEL RD, MERIDIAN, MS 39305-9646
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2989
MS
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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