| NPI | 1336540251 |
|---|---|
| Former Name | TESSA SOLEDAD TISCARENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 41266) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1187503) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2024-02-12 |