Provider Demographics
NPI:1386023042
Name:TRINH, WENDY (ATC, LAT, MS)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:TRINH
Suffix:
Gender:F
Credentials:ATC, LAT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2175 SCHILLINGER RD S APT 1014
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-6017
Mailing Address - Country:US
Mailing Address - Phone:770-654-6106
Mailing Address - Fax:
Practice Address - Street 1:1 PRIDE PL
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-1100
Practice Address - Country:US
Practice Address - Phone:251-943-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X
AL15662255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No174H00000XOther Service ProvidersHealth Educator