Todd Trujillo, PT
Physical Therapist in Tahoe City, CA. Individual provider (NPI-1).
NPI number1679787014
StatusActive
Last updated in NPPESFeb 11, 2015
Details
- NPI
- 1679787014
- Entity type
- Individual (NPI-1)
- Name
- Todd Trujillo
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 9, 2007
- Last updated
- Feb 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 26413 | CA | Yes |
Practice location
705 N Lake BlvdBox 5591
Tahoe City, CA 96145-5591
Phone 707-494-6774
Mailing address
705 N Lake BlvdBox 5591
Tahoe City, CA 96145-5591
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