Individual
TESSA FATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
322 N CENTRAL AVE, EUREKA, MO 63025-1826
(636) 938-4065
(636) 938-4067
Mailing address
322 N CENTRAL AVE, EUREKA, MO 63025-1826
(636) 938-4065
(636) 938-4067
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2018028398
MO
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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