Individual
TREVOR SAMOLINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
1627 4TH ST, PERU, IL 61354-3507
(815) 223-4479
Mailing address
1627 4TH ST, PERU, IL 61354-3507
(815) 223-4479
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096005823
IL
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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