Provider Demographics
NPI:1609918325
Name:FIELD, TREVOR ARLAND (MPT)
Entity Type:Individual
Prefix:
First Name:TREVOR
Middle Name:ARLAND
Last Name:FIELD
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 VIEWPOINT CIR
Mailing Address - Street 2:
Mailing Address - City:PHILLIPS RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91766-4923
Mailing Address - Country:US
Mailing Address - Phone:909-957-3700
Mailing Address - Fax:
Practice Address - Street 1:25389 MADISON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9006
Practice Address - Country:US
Practice Address - Phone:800-280-1339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28761225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1093886459Medicare UPIN