Individual
TRISTAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
423B MEMORIAL BLVD, PICAYUNE, MS 39466-5545
(769) 242-2772
(769) 242-0513
Mailing address
423B MEMORIAL BLVD, PICAYUNE, MS 39466-5545
(769) 242-2772
(769) 242-0513
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7598
MS
Other
Enumeration date
12/04/2024
Last updated
12/06/2024
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