Provider Demographics
NPI:1790374429
Name:ROWLAND, TERRY J
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:J
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 HERBERT RD
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-9610
Mailing Address - Country:US
Mailing Address - Phone:330-533-3046
Mailing Address - Fax:
Practice Address - Street 1:5701 HERBERT RD
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-9610
Practice Address - Country:US
Practice Address - Phone:330-533-3046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-17
Last Update Date:2021-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No136A00000XDietary & Nutritional Service ProvidersDietetic Technician, Registered
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker