Provider Demographics
NPI:1306538921
Name:TRINKER, BETH LIANA
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:LIANA
Last Name:TRINKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 INDEPENDENCE BLVD 100
Mailing Address - Street 2:OFFICE 15
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412
Mailing Address - Country:US
Mailing Address - Phone:910-970-4023
Mailing Address - Fax:
Practice Address - Street 1:2512 INDEPENDENCE BLVD 100
Practice Address - Street 2:OFFICE 15
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412
Practice Address - Country:US
Practice Address - Phone:910-970-4023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-23
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist