Individual
ROBERTA H. TREVIRANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2102 S 96TH ST, TACOMA, WA 98444-1753
(253) 581-2514
Mailing address
2102 S 96TH ST, TACOMA, WA 98444-1753
(253) 581-2514
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60039515
WA
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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