Lesa Dejong, PTA
NPI #1629456819 in Saint John, Indiana
Provider Information
- NPI Number
- 1629456819
- Entity Type
- Individual
- Name
- Lesa Dejong, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- May 8, 2015
- Last Updated
- May 8, 2015
Practice Location
- Address
- 10135 S BRANCH
- City
- Saint John
- State
- Indiana
- ZIP Code
- 46373-8415
- Phone
- (304) 542-6988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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