Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist |
NPI | 1134367857 |
---|---|
Provider Name | Trevor J. Townsend |
First Address | Bakersfield, CA 93301-4002 |
Second Address | Bakersfield, CA 93301-4002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2009 |
Last Update Date | 16/01/2013 |