NPI 1104119007

Joann M Tesarek, PTA

Practitioner Physical Therapy Assistant Bellevue, NE

Practice location

Address: 1103 Galvin Rd S Area a, Bellevue, NE 68005-3004
Phone: (402) 408-0890
Fax: (402) 408-0891

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 295 (NE)

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Registry record

NPI: 1104119007
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2011
Record last updated: 25 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.