Individual
TREVOR ALLAN SHAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 MCCORKLE AVE SE, CHARLESTON, WV 25304-2503
(304) 720-9185
Mailing address
4301 MCCORKLE AVE SE, CHARLESTON, WV 25304-2503
(304) 720-9185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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