Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 27071 | MD |
Y | 225100000X | Physical Therapist | PT60827694 | WA |
N | 2251S0007X | Physical Therapist - Sports | PT60827694 | WA |
NPI | 1114404332 |
---|---|
Provider Name | Anthony Trinh |
First Address | Seattle, WA 98104-1172 |
Second Address | Issaquah, WA 98029-5449 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2018 |
Last Update Date | 17/05/2021 |