| NPI | 1033307236 |
|---|---|
| Former Name | TRISTA BRATLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT26098) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 26098) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2021-05-19 |