Trevyn Lloyd Despain in Riverside - Physical Therapist

Trevyn Lloyd Despain - NPI 1063490092

Trevyn Lloyd Despain is a Physical Therapist in Riverside, California. Trevyn Lloyd Despain practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Trevyn Lloyd Despain is 1063490092. The last update date is 2012-07-11.

Trevyn Lloyd Despain's current location address is 3908 10th St, Riverside, California. You can contact this provider via phone number 9512747744 and fax number 9512747754. The mailing address for Trevyn Lloyd Despain is 3908 10th St, Riverside, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Trevyn Lloyd Despain
Address 3908 10th St, Riverside, California
Phone Number 9512747744
Fax Number 9512747754
Sole Proprietor N
Credentials RPT

NPI Number Detail

NPI Number 1063490092
Provider Enumeration Date 2006-01-09
Last Updated Date 2012-07-11

Provider Mailing Address Detail

Address 3908 10th St
City Riverside
State California (CA)
Post Code 925013522
Phone Number 9512747744
Fax Number 9512747754

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 24715
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
24715 CA PHYSICAL THERAPY LISENCE

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FAQs about Trevyn Lloyd Despain

What is the unique identifier code issued to Trevyn Lloyd Despain by the Centers for Medicare & Medicaid Services?

The Trevyn Lloyd Despain has been assigned the NPI (National Provider Identifier) 1063490092. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Trevyn Lloyd Despain's facilities are situated?

The facilities of Trevyn Lloyd Despain are physically located at the following address: 3908 10Th St, Riverside, CA, 925013522.

What is the Trevyn Lloyd Despain's specialty and taxonomy code?

The Trevyn Lloyd Despain's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.

When did Trevyn Lloyd Despain receive its 1063490092 assignment?

The Trevyn Lloyd Despain was assigned its 1063490092 on 2006-01-09, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Trevyn Lloyd Despain, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Trevyn Lloyd Despain, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-07-11.

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