Individual
MR. VINCENT JACOB TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
6324 GLENMONT DR, HAMILTON, OH 45011-5082
(757) 650-0471
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.10375
OH
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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