Individual
TREVOR VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
950 FRANCIS PL STE 115, CLAYTON, MO 63105-2465
(314) 644-1978
Mailing address
950 FRANCIS PL STE 115, CLAYTON, MO 63105-2465
(314) 644-1978
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019030594
MO
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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