| NPI | 1609120039 |
|---|---|
| Former Name | TRICIA ANASTASIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01485900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035700) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2024-09-12 |