Organization
TRUMBLE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE TRUMBLE PT, OCS (OWNER)
(607) 273-4972
Entity
Organization
Contact information
Practice address
840 HANSHAW RD, ITHACA, NY 14850-1589
(607) 273-4972
(607) 273-4972
Mailing address
840 HANSHAW RD, ITHACA, NY 14850-1589
(607) 273-4972
(607) 273-4972
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
013783
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02309662
—
NY
01
—
1407926199
NPI - INDIVIDUAL
NY
01
—
DD0745
MEDICARE ID TYPE UNSPECIFIED
NY
Enumeration date
01/12/2015
Last updated
01/12/2015
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