Trident Lake Health INC

NPI #1912708173 in Gilbert, Arizona

Provider Information

NPI Number: 1912708173
Entity Type: Organization
Organization Name: Trident Lake Health INC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 24, 2025
Last Updated: Mar 24, 2025

Practice Location

Address: 4140 E BETHENA ST
City: Gilbert
State: Arizona
ZIP Code: 85295-0321
Phone: (562) 221-3960

Authorized Official

Name: OLAYINKA ADEOYA, PT
Title: CEO
Phone: (562) 221-3960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Licensed Practical Nurse	164W00000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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