Individual
TREVOR NANNINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
1315 NW 4TH ST APT B, REDMOND, OR 97756-1328
(541) 504-2350
Mailing address
2410 NE DEXTER AVE, GRESHAM, OR 97030-3302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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