Provider Demographics
NPI:1134720287
Name:STOKES, TREVOR COLLIN
Entity type:Individual
Prefix:
First Name:TREVOR
Middle Name:COLLIN
Last Name:STOKES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24271 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-1993
Mailing Address - Country:US
Mailing Address - Phone:925-640-6240
Mailing Address - Fax:951-380-8727
Practice Address - Street 1:24271 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-1993
Practice Address - Country:US
Practice Address - Phone:925-640-6240
Practice Address - Fax:951-380-8727
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT16783225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist