Briana Lynn Teckenburg
Physical Therapy Assistant
459 E 1st St
Fond du Lac
, Wisconsin 54935-4505
Briana Lynn Teckenburg
Physical Therapy Assistant
459 E 1st St
Fond du Lac
, Wisconsin 54935-4505
(641) 849-0516
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Briana Lynn Teckenburg
- W6347 Sonny Dr Apt 5
- Menasha, WI
- Zip : 54952-9009
- Phone : (641) 849-0516
Second Address
- Briana Lynn Teckenburg
- 459 E 1st St
- Fond Du Lac, WI
- Zip : 54935-4505
- Phone : (920) 929-3500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant |
National Provider Identifier
| NPI | 1013519479 |
|---|---|
| Provider Name | Briana Lynn Teckenburg |
| First Address | Menasha, WI 54952-9009 |
| Second Address | Fond Du Lac, WI 54935-4505 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/11/2020 |
| Last Update Date | 11/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.