Individual
BEVERLY S TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
521 GASLIGHT BLVD, LUFKIN, TX 75904-3127
(936) 634-3298
Mailing address
521 GASLIGHT BLVD, LUFKIN, TX 75904-3127
(936) 634-3298
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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