Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | 6768 | SC |
Y | 225XE1200X | Ergonomics | 6768 | SC |
N | 2251N0400X | Physical Therapist - Neurology | 10032 | NC |
NPI | 1154593812 |
---|---|
Provider Name | Dr. Terry Jon Holder-Ryder |
First Address | Daniel Island, SC 29492-8001 |
Second Address | Daniel Island, SC 29492-8001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2008 |
Last Update Date | 04/02/2021 |