person
Trevor E Carlson, PT
Specialist in Mckinleyville, California
NPI 1982980082

Trevor E Carlson is a Specialist based in Eureka, CA. Trevor E Carlson practices in Mckinleyville, CA and has the professional credentials of PT. The NPI Number for Trevor E Carlson is 1982980082 and holds a License No. PT38366 (California).

The current practice location address for Trevor E Carlson is 1585 Heartwood Dr Ste H, Mckinleyville, CA and can be reached out via phone at 707-839-1802 and via fax at 707-839-3507.

Location: 1585 Heartwood Dr Ste H, Mckinleyville, CA, 95501-3209
person
Provider Profile Details
NPI Number
1982980082
Provider Name
Trevor E Carlson
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1585 Heartwood Dr Ste H, Mckinleyville, CA, 95501-3209
Phone Number
707-839-1802
Fax Number
707-839-3507
Provider Enumeration Date
11/02/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38366 01 CA LICENSE
CH2219 01 CA RR MEDICARE #
institution
Provider Business Practice Location Address Details
Address
1585 Heartwood Dr Ste H
City
State
Zip
95519-3993
Phone Number
707-839-1802
Fax Number
707-839-3507
person
Provider Business Mailing Address Details
Address
1585 Heartwood Dr Ste H
City
State
Zip
95519-3993
Phone Number
707-839-1802
Fax Number
707-839-3507
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
PT38366 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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