MR. Lance Destefano, PTA

NPI #1780827998 in Syracuse, Nebraska

Provider Information

NPI Number
1780827998
Entity Type
Individual
Name
MR. Lance Destefano, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist - Geriatrics
Credential
PTA
Enumeration Date
Apr 17, 2009
Last Updated
Apr 17, 2009

Practice Location

Address
1622 WALNUT ST
ZIP Code
68446-7017
Phone
(402) 269-2251

Specialties & Taxonomy Codes

Specialty
Physical Therapist - GeriatricsGeriatrics

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