Individual
NICOLE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3826 WINDRIDGE CT, JACKSONVILLE, FL 32257-7063
(904) 575-1536
Mailing address
3826 WINDRIDGE CT, JACKSONVILLE, FL 32257-7063
(904) 575-1536
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
01/20/2022
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