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Individual

MS. TESSA TEGARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
9136 S GREENRIDGE LN, BLOOMINGTON, IN 47401-9077
(812) 276-3983

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003192A
IN

Other

Enumeration date
09/25/2012
Last updated
09/25/2012
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