Individual
DILLON TRUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
619 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8075
(907) 982-3897
Mailing address
PO BOX 876104, WASILLA, AK 99687-6104
(907) 982-3897
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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