Provider Demographics
NPI:1649284662
Name:TROWBRIDGE, CYNTHIA ANNE (PHD, ATC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANNE
Last Name:TROWBRIDGE
Suffix:
Gender:F
Credentials:PHD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 MORGAN WOODWARD WAY
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006
Mailing Address - Country:US
Mailing Address - Phone:817-460-0547
Mailing Address - Fax:
Practice Address - Street 1:500 W NEDDERMAN RD
Practice Address - Street 2:DEPARTMENT OF KINESIOLOGY
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76019-0259
Practice Address - Country:US
Practice Address - Phone:817-272-3134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT32542255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer