Individual
JEFFREY A. TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3430
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051531652
BLUE CROSS & BLUE SHIELD
AL
05
—
051531652
—
AL
01
—
6400005
UNITED HEALTHCARE
AL
Enumeration date
05/22/2006
Last updated
02/04/2010
Update your record
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