Trevor Bostdorf, MPT/MTC
NPI #1205819513 in Los Gatos, California
Provider Information
- NPI Number
- 1205819513
- Entity Type
- Individual
- Name
- Trevor Bostdorf, MPT/MTC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- MPT/MTC
- Enumeration Date
- Nov 22, 2005
- Last Updated
- Apr 15, 2010
Practice Location
- Address
- 14901 NATIONAL AVE
- Address 2
- SUITE 102
- City
- Los Gatos
- State
- California
- ZIP Code
- 95032-2637
- Phone
- (408) 358-3631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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| MS. Carol Ann Triest, P.T. | |
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| MS. Lori Michi Leonard, M.P.T. |
Organizations
| Provider Name | |
|---|---|
| Baysport, INC |
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