| NPI | 1073287561 |
|---|---|
| Former Name | TRISHA ANNE MARIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014337A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 99106004A) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2024-01-03 |