Individual
TRENT PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
371 OPEKISKA RIDGE RD, FAIRMONT, WV 26554-8683
(304) 288-9748
Mailing address
371 OPEKISKA RIDGE RD, FAIRMONT, WV 26554-8683
(304) 288-9748
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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