Provider Demographics
NPI:1750598132
Name:TRUMPF, GRETCHEN F (PT)
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:F
Last Name:TRUMPF
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4624 E VISTA ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-1727
Mailing Address - Country:US
Mailing Address - Phone:562-434-8650
Mailing Address - Fax:562-439-4176
Practice Address - Street 1:17542 17TH ST SUITE 300
Practice Address - Street 2:KAISER PERMANENTE HOME HEALTH, ORANGE COUNTY
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92789
Practice Address - Country:US
Practice Address - Phone:714-944-8506
Practice Address - Fax:562-433-9232
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 9234225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist