LANCE DESTEFANO

SYRACUSE, NE
NPI1780827998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251G0304X Physical Therapist, Geriatrics
(Licence: NE  827)
Enumeration Date2009-04-17
Last Update Date2009-04-17
Business Address
Mr. LANCE DESTEFANO PTA
1622 WALNUT ST
SYRACUSE, NE 68446-7017
Phone number: 402-269-2251
Mailing Address
Mr. LANCE DESTEFANO PTA
9785 FOWLER DR
PAPILLION, NE 68046-4548
Phone number: 402-339-2410
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