NPI | 1023427366 |
---|---|
Former Name | TRYSTIN ENEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT29457) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT29457) |
Enumeration Date | 2014-08-12 |
Last Update Date | 2023-03-14 |