Individual
MRS. TRESA NIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6125 SPANGLER DR, NEW FRANKLIN, OH 44216-8949
(330) 882-3052
Mailing address
6125 SPANGLER DR, NEW FRANKLIN, OH 44216-8949
(330) 882-3052
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01646
OH
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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