Individual
TREVOR ALBERT TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1620 NW 1ST ST, GRESHAM, OR 97030-6876
(503) 929-3611
(888) 426-4011
Mailing address
1620 NW 1ST ST, GRESHAM, OR 97030-6876
(503) 929-3611
(888) 426-4011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1943
OR
Other
Enumeration date
12/21/2007
Last updated
04/14/2009
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