MEDICARE: EMILY TROSCH TRUMBLE PT, 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
1	2251X0800X	Orthopedic Physical Therapist	PT872106	DC

General Provider Information

NPI Number	:	1588193015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY TROSCH TRUMBLE PT, DPT

Provider Business Mailing Address
First Line	:	1145 19TH ST NW STE 403
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-3716
Country	:	US
Telephone Number	:	202-721-7680
Fax Number	:

Provider Business Practice Location Address
First Line	:	1145 19TH ST NW STE 403
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-3716
Country	:	US
Telephone Number	:	202-721-7682
Fax Number	:

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

Provider Enumeration Date	:	06/08/2017
Last Update Date	:	12/27/2023

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