Individual
TREVOR THEOBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
8655 MARKET ST, MENTOR, OH 44060-4112
(440) 352-1200
Mailing address
1211 GARWOOD DR, PAINESVILLE, OH 44077-5433
(440) 352-1200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
03557
OH
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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