Individual
CHARLES TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6055 E WASHINGTON BLVD STE 900, COMMERCE, CA 90040-2453
(323) 346-0960
(323) 346-0966
Mailing address
6055 E WASHINGTON BLVD STE 900, COMMERCE, CA 90040-2453
(323) 346-0960
(323) 346-0966
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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