Individual
NICOLE EVA TESZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1526 LOMBARD ST, PHILADELPHIA, PA 19146-1625
(215) 546-5960
Mailing address
834 CHESTNUT ST, APT.1420, PHILADELPHIA, PA 19107-5127
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE002691L
PA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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