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NPI Code Detail

MEDICARE: TESSA K TERRELL DPT

MEDICARE: TESSA K TERRELL DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1356837058
Entity Type Code : Individual
Provider Name (Legal Business Name) : TESSA K TERRELL DPT
Provider Business Mailing Address
First Line : 920 YARGER DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45230-3542
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5435 KENWOOD RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1328
Country : US
Telephone Number : 610-444-6350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2018
Last Update Date : 01/17/2024

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Directions to “ TESSA K TERRELL DPT” Practice Location

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