Doctor Name: | MR. GEOFFREY DENNIS TRIVINO |
NPI Number: | 1083801492 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 17909 |
Business Practice Address: | 15 Parkman St Wacc 134 Boston, MA - 021143117 |
Business Phone Number: | 6177240125 |
Business Fax Number: | |
Mailing Address: | 30 Revere Beach Pkwy Apt 412, MEDFORD |
State: | MA |
Postal Code: | 021555162 |
Phone Number: | 7813910321 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2007 |
NPI Last Update Date: | 09/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 17909 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |