Individual
MRS. JENNAFER ASHLEY TRYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24279
MD
225100000X
Physical Therapist
Primary
J1-0002934
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000220726
—
DE
01
—
086513
MEDICARE
DE
01
—
216538
MEDICARE UNSPEC
MD
05
—
435138000
—
MD
Enumeration date
11/01/2012
Last updated
08/31/2022
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