Provider Demographics
NPI:1174842843
Name:TRIMBLE, CHRISTOPHER BINGHAM (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:BINGHAM
Last Name:TRIMBLE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 E TACHEVAH DR
Mailing Address - Street 2:1 EAST SUITE 201
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-5750
Mailing Address - Country:US
Mailing Address - Phone:760-778-7150
Mailing Address - Fax:760-778-7180
Practice Address - Street 1:555 E TACHEVAH DR
Practice Address - Street 2:1 EAST SUITE 201
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-5750
Practice Address - Country:US
Practice Address - Phone:760-778-7150
Practice Address - Fax:760-778-7180
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT36613225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist