Individual
JEZREEL TREVORAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6049 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2160
(804) 639-2359
(804) 639-2029
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1385471
TX
225100000X
Physical Therapist
Primary
2305217552
VA
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
02/25/2026
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