Individual
JEREMY DANIEL TREVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
502 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-2848
Mailing address
502 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-2848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8315
MN
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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