Provider Demographics
NPI:1609889161
Name:PETROU, TREVOR SCOTT (PT)
Entity type:Individual
Prefix:
First Name:TREVOR
Middle Name:SCOTT
Last Name:PETROU
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 411 BOX 4691
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112-0047
Mailing Address - Country:US
Mailing Address - Phone:571-277-5052
Mailing Address - Fax:
Practice Address - Street 1:2 ASOS/HHT, 2CR/ALO ATTN: TREVOR PETROU
Practice Address - Street 2:BOX 9 UNIT 28046
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09112-8046
Practice Address - Country:US
Practice Address - Phone:571-277-5052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT009648L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist