Provider Demographics
NPI:1710329867
Name:TERRILL, JAMES E (ATC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:TERRILL
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-5728
Mailing Address - Country:US
Mailing Address - Phone:215-378-3246
Mailing Address - Fax:
Practice Address - Street 1:23 TANGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-5728
Practice Address - Country:US
Practice Address - Phone:215-378-3246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer