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Individual

MR. EDWARD LEE TRENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
4862 DICKENSON HIGHWAY, CLINTWOOD, VA 24228
(276) 926-4516
(276) 926-6652
Mailing address
PO BOX 1810, CLINTWOOD, VA 24228-1810
(276) 926-4516
(276) 926-6652

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205162
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
196257
ANTHEM
VA
01
7815948
AETNA
VA
Enumeration date
08/14/2007
Last updated
01/07/2008
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