TREVOR ALLAN SHAMBLIN

CHARLESTON, WV
NPI1073021291
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2018-01-22
Last Update Date2018-01-22
Business Address
TREVOR ALLAN SHAMBLIN
4301 MCCORKLE AVE SE
CHARLESTON, WV 25304-2503
Phone number: 304-720-9185
Mailing Address
TREVOR ALLAN SHAMBLIN
4301 MCCORKLE AVE SE
CHARLESTON, WV 25304-2503
Phone number: 304-720-9185