Individual
MRS. CARMEN MARIE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1701 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701
(570) 326-7456
Mailing address
367 JAMES RD, LEWISBURG, PA 17837-7046
(570) 522-0840
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003048
PA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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