Individual
JASON LEE TRIVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 COOK ST E, ABINGDON, VA 24210-3225
(276) 628-6043
Mailing address
220 COOK ST., ABINGDON, VA 24210
(276) 628-6043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10719
TN
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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