Individual
MS. TRISTY NEIDIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
140 SHEPHERD LN, TOTOWA, NJ 07512-2188
(724) 664-7613
Mailing address
23 YOUNG AVE, TOTOWA, NJ 07512-2036
(724) 664-7613
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00251100
NJ
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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