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NPI Code Detail

MEDICARE: DR. TREVOR D WINNEGGE DPT

MEDICARE: DR. TREVOR D WINNEGGE DPT
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
1225100000XPhysical TherapistPT01588RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19383072OTHERRIPHCS
229647-4OTHERRIBC/BS OF RI
34075OTHERRINEIGHBORHOOD HEALTH
4410066OTHERRIBLUE CHIP OF RI
55656761OTHERRIFIRST HEALTH
67559746OTHERRIAETNA

General Provider Information

NPI Number : 1568470698
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TREVOR D WINNEGGE DPT
Provider Business Mailing Address
First Line : 281 COUNTY ST
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-3511
Country : US
Telephone Number : 508-226-2213
Fax Number : 508-431-2637
Provider Business Practice Location Address
First Line : 281 COUNTY ST
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-3511
Country : US
Telephone Number : 508-226-2213
Fax Number : 508-431-2637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 08/22/2007

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