Smith, Terylyn Denise

Smith, Terylyn Denise is an sole proprietor health care provider with primary practice located at 13800 Heacock St Ste. C236, Moreno Valley CA 92553-3339. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Smith, Terylyn Denise can be contacted via phone (951) 653-0819.

Contact Information

Primary practice address
13800 Heacock St Ste. C236 Moreno Valley CA 92553-3339
Phone: (951) 653-0819
Fax: (951) 656-2614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1063697878
LBN Legal business name Smith, Terylyn Denise
Credentials L.P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2007
Last updated Mar 11th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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