Individual
RONNAE TESSELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5024 W WESTERN AVE, SOUTH BEND, IN 46619-2312
(574) 318-4600
Mailing address
5232 N FALLS CHURCH CT, SOUTH BEND, IN 46614-5944
(574) 252-9766
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
31003236A
IN
Other
Enumeration date
03/01/2020
Last updated
03/01/2020
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