NPI 1073997433

Tristan Sanders, PTA

Practitioner Physical Therapy Assistant Rockville, MD

Practice location

Address: 2401 Research Blvd Suite 109, Rockville, MD 20850-3215
Phone: (301) 337-6921
Fax: (301) 657-5651
Mailing address: 1612 Olive St, Baltimore, MD 21230-4427

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A3805 (MD)

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Registry record

NPI: 1073997433
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2015
Record last updated: 16 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.