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Individual
TREVOR LING
Active
Individual
TREVOR LING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
22079
MD
225100000X
Physical Therapist
2305204477
VA
225100000X
Physical Therapist
Primary
7772
TN
225100000X
Physical Therapist
PT018410
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01160826
AMERIGROUP PIN
TN
01
—
3080867
BCBS GROUP PIN
TN
05
—
3650036
—
TN
01
—
4156211
BCBS PIN
TN
01
—
686107
UNITED HEALTHCARE GROUP PIN
TN
01
—
722076
UNITED HEALTHCARE PIN
TN
01
—
7772
STATE LICENSE
TN
Enumeration date
09/28/2006
Last updated
12/10/2008
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