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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TREVOR FENNELL

Active

TREVOR FENNELL is a Physical Therapy Assistant healthcare provider located in RIDGEWOOD, New Jersey. NPI 1619904125 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · RIDGEWOOD, NJ

Registration Details

NPI Number
1619904125
Provider Type
Individual
Gender
Male
NPI Issued
Jun 28, 2006 (20.096255805176 yrs)
Last Updated
Jul 8, 2007
License
40QA00907400 (NJ)

Practice Information

Address
127 UNION ST
SUITE 105
RIDGEWOOD, NJ, 074504478
Browse NJ providers · Browse ZIP 07450
Phone
2014444447
Fax
2014445101
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in RIDGEWOOD, NJ

Name Credential NPI
WILLIAM GILLIGAN P.T. 1316940638
SHAIRA ROSE D.P.T., C.H.T. 1033170642
KIM R MINERVINI PT 1275692824
MRS. SARA ANNE CHAN P.T., C.F.M.T 1871659110
MS. AMY KIM YOUNER MPT 1255488482
MR. TAK Y LAI PHYSICAL THERAPIST 1861548018
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.