MEDICARE: TRINA L ROWE DPT, CSCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	35959	CA

General Provider Information

NPI Number	:	1487810214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRINA L ROWE DPT, CSCS

Provider Business Mailing Address
First Line	:	3200 E CAMELBACK RD
Second Line	:	STE 250
City	:	PHOENIX
State	:	AZ
Zip	:	85018-2327
Country	:	US
Telephone Number	:	602-933-1814
Fax Number	:

Provider Business Practice Location Address
First Line	:	3530 S VAL VISTA DR STE B205
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-7318
Country	:	US
Telephone Number	:	602-933-1813
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2008
Last Update Date	:	11/12/2021

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