Individual
TESA JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
109 LASCH FOOTBALL BLDG, UNIVERSITY PARK, PA 16802-1229
(814) 206-6573
Mailing address
109 LASCH FOOTBALL BLDG, UNIVERSITY PARK, PA 16802-1229
(814) 206-6573
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006686
PA
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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