Individual
ANTHONY JOHN TESORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-0001
(910) 907-7925
Mailing address
6455 HIDDEN LAKE LOOP APT 1142, FAYETTEVILLE, NC 28304-0393
(703) 589-3577
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605824
VA
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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