Individual
SCOTT TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1332 WATERFORD XING CIR, GOSHEN, IN 46526-6009
(574) 534-3920
(574) 533-1968
Mailing address
1650 LYNDON FARM CT, SUITEM201, LOUISVILLE, KY 40223-5002
(502) 412-5847
(502) 412-0407
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003409A
IN
Other
Enumeration date
04/08/2009
Last updated
04/20/2009
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