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Individual
MS. SANDRA TREVILLIAN
Active
Individual
MS. SANDRA TREVILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10622
AZ
225100000X
Physical Therapist
Primary
2305002463
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010179513
—
VA
01
—
192941
BCBS PHYSICAL THERAPY
VA
01
—
7603693
AETNA
—
01
—
P00274855
RAILROAD MEDICARE
VA
Enumeration date
04/26/2006
Last updated
06/04/2025
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