Individual
MR. THOMAS J TRINIDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T
Contact information
Practice address
2400 E MITCHELL ST, HUMBOLDT, TN 38343-3036
(731) 784-5183
Mailing address
17 SLEEPYWOOD CV, JACKSON, TN 38305-8778
(731) 664-7013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
917
TN
225XG0600X
Gerontology Occupational Therapist
917
TN
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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