MRS. Tessa Lynn Defore, PTA

NPI #1821161563 in Vincennes, Indiana

Provider Information

NPI Number: 1821161563
Entity Type: Individual
Name: MRS. Tessa Lynn Defore, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 406 N 1ST ST
Address 2: SUITE B
City: Vincennes
State: Indiana
ZIP Code: 47591-1340
Phone: (812) 885-2770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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