TERRY DESPER PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1972288595- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 112 MELLON ST, BECKLEY, WV, 258013536
- Phone
- (304) 255-5263
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: WV #001194