Organization
TERRY REHABILITATION & TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY L TERRY PT, OCS (OWNER)
(972) 939-6501
Entity
Organization
Contact information
Practice address
1428 W HEBRON PKWY, SUITE 120, CARROLLTON, TX 75010-6345
(972) 939-6501
(866) 451-0585
Mailing address
PO BOX 117213, CARROLLTON, TX 75011-7213
(972) 939-6501
(866) 451-0585
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10035116
AMERIGROUP
TX
05
—
173756101
—
TX
01
—
8T3290
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/08/2006
Last updated
07/21/2009
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