Individual
JEFFREY A. TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2217 DECATUR HWY, SUITE 123, GARDENDALE, AL 35071-2301
(205) 418-1200
(205) 418-1210
Mailing address
2217 DECATUR HWY, SUITE 123, GARDENDALE, AL 35071-2301
(205) 418-1200
(205) 418-1210
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
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