Individual
HZLE TEJANO SESTOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3400 W COMMUNITY DR, MUNCIE, IN 47304-5459
(765) 289-2273
Mailing address
8001 LINDBERGH DR, YORKTOWN, IN 47396-6859
(765) 749-6425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008776A
IN
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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