Individual
DR. EDWARD D TRELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5520 BROADVIEW RD, PARMA, OH 44134-1605
(216) 749-6650
Mailing address
9268 OXFORD TRL, BRECKSVILLE, OH 44141-2500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013267
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000603847
ANTHEM BLUE CROSS AND BLUE SHIELD
OH
Enumeration date
08/05/2011
Last updated
08/05/2011
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