Individual
MR. GERARDO TREJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1605 E DEL MAR BLVD, SUITE 14, LAREDO, TX 78041-6517
(361) 986-0708
(361) 986-0708
Mailing address
1605 E DEL MAR BLVD, SUITE 14, LAREDO, TX 78041-6517
(361) 986-0708
(361) 986-0708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2021903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021903
PTA
TX
Enumeration date
01/02/2007
Last updated
07/08/2007
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