Individual
DEANDRA NESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
616 MAPLEWOOD AVE, BRUNSWICK, OH 44212-1312
(216) 536-0069
Mailing address
616 MAPLEWOOD AVE, BRUNSWICK, OH 44212-1312
(216) 536-0069
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011031
OH
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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