Provider Demographics
NPI:1033242110
Name:TERRANOVA, AARON B (ATC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:B
Last Name:TERRANOVA
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 TATUM PLACE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-3245
Mailing Address - Country:US
Mailing Address - Phone:336-334-3563
Mailing Address - Fax:
Practice Address - Street 1:1400 WALKER AVE
Practice Address - Street 2:237 B HHP BLDG UNCG
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-3245
Practice Address - Country:US
Practice Address - Phone:336-334-5925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11112255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer