| NPI | 1114274909 |
|---|---|
| Former Name | TRISTA DIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023514) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207567) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2025-03-20 |