Individual
ANDREA TESAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12020 PACIFIC ST, OMAHA, NE 68154-3507
(800) 259-9897
Mailing address
12020 PACIFIC ST, OMAHA, NE 68154-3507
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
104984
IA
225X00000X
Occupational Therapist
Primary
2389
NE
225X00000X
Occupational Therapist
5201011300
MI
Other
Enumeration date
11/18/2019
Last updated
11/11/2021
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