TREVOR C ANDERSON

ATHLETICO EXCEL NEBRASKA, LLC

Dr TREVOR C ANDERSON is a male medical professional, specializing in Physical Therapy. He graduated in 2018.

Contact

ATHLETICO EXCEL NEBRASKA, LLC

9449 J ST
OMAHA
NE
681271218

Tel: 4025937345

TREVOR C ANDERSON Information

Npi 1407348550
Pac Id 4183970692
Professional Enrollment Id I20180712002407
Last Name ANDERSON
First Name TREVOR
Middle Name C
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ATHLETICO EXCEL NEBRASKA, LLC
Group Practice Pac Id 7416219902
Number Of Group Practice Members 42
Line 1 Street Address 9449 J ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OMAHA
State NE
Zip Code 681271218
Phone Number 4025937345
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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