Individual
MRS. EMMA ALEXANDRA TRUMBULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
25555
FL
225100000X
Physical Therapist
Primary
5380
CT
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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