NPI 1184149551

David Trevisan, MSOPCO

Practitioner Orthotist Jackson, MI

Practice location

Address: 1407 E Michigan Ave, Jackson, MI 49202-3517
Phone: (517) 784-1142

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1184149551
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.