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Individual
TREVOR ALLEN JOHNSON
Active
Individual
TREVOR ALLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038434
NY
225100000X
Physical Therapist
1256837
TX
225100000X
Physical Therapist
2305209173
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07254337
—
NY
Enumeration date
05/21/2015
Last updated
10/18/2022
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