Doctor Name: | TRISTAN OWENS |
NPI Number: | 1619341419 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT31013 |
Business Practice Address: | 3322 Sawtooth Dr Tallahassee, FL - 323037368 |
Business Phone Number: | 8505703036 |
Business Fax Number: | |
Mailing Address: | 3322 Sawtooth Dr, TALLAHASSEE |
State: | FL |
Postal Code: | 323037368 |
Phone Number: | 8505703036 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2015 |
NPI Last Update Date: | 11/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT31013 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |