Individual provider · Type 1 NPI

Tristan Bowley Dalisay, PT

Specialist · Fairfield, CA

NPI number 1407008634 Active

Practice location

3175 Olympic Rd
Fairfield, CA 94534-8327

Call (707) 419-1616 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT 19680 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407008634

Tristan Bowley Dalisay, PT's National Provider Identifier is 1407008634, issued on Oct 21, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairfield, CA. The record was last updated on Oct 21, 2008.