Individual
TRISHA BRYN WHITCOMB
Active
Individual
TRISHA BRYN WHITCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT891
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118493800
—
WY
01
—
312179
BLUE CROSS BLUE SHIELD WY
WY
Enumeration date
06/21/2006
Last updated
06/09/2020
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