Individual
MRS. KIM G. TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N SHERMAN ST, FALLON, NV 89406-3488
(775) 428-7800
Mailing address
550 N SHERMAN ST, FALLON, NV 89406-3488
(775) 428-7800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1249
NV
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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