Individual
RICHARD TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4755 S 48TH ST, TACOMA, WA 98409-1919
(253) 475-4611
(253) 471-9591
Mailing address
4755 S 48TH ST, TACOMA, WA 98409-1919
(253) 475-4611
(253) 471-9591
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60047545
WA
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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