Individual
MR. GEOFFREY DENNIS TRIVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15 PARKMAN ST, WACC 134, BOSTON, MA 02114-3117
(617) 724-0125
Mailing address
30 REVERE BEACH PKWY APT 412, MEDFORD, MA 02155-5162
(781) 391-0321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17909
MA
Other
Enumeration date
09/29/2007
Last updated
09/29/2007
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