Despain, Trevyn Lloyd
Despain, Trevyn Lloyd is an individual health care provider with primary practice located at 3908 10Th St , Riverside CA 92501-3522. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Despain, Trevyn Lloyd can be contacted via phone (951) 274-7744.Contact Information
Primary practice address
3908 10Th St
Riverside CA 92501-3522
Phone: (951) 274-7744
Fax: (951) 274-7754
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 24715 | California |
Profile Details
NPI number | 1063490092 |
---|---|
LBN Legal business name | Despain, Trevyn Lloyd |
Credentials | Registered Physical Therapist (RPT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 9th, 2006 |
Last updated | Jul 11th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063490092 | NPPES |
California | Other | 24715 | PHYSICAL THERAPY LISENCE |
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