Individual
MS. AMY JEANETTE TREVINO
Active
Individual
MS. AMY JEANETTE TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60318927
WA
2251X0800X
Orthopedic Physical Therapist
1127629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0319928
WA L&I PROVIDER NUMBER
WA
Enumeration date
11/11/2005
Last updated
04/14/2014
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