| NPI | 1720147226 |
|---|---|
| Former Name | TRISA CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 32381) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028431) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2018-03-17 |