Tenisson, Adria Goppelt

Tenisson, Adria Goppelt is an individual health care provider with primary practice located at 3525 Loma Vista Rd Ste C , Ventura CA 93003-3165. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Tenisson, Adria Goppelt can be contacted via phone (805) 652-6955.

Contact Information

Primary practice address
3525 Loma Vista Rd Ste C Ventura CA 93003-3165
Phone: (805) 652-6955
Fax: (805) 652-6959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 22190 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT22190 California

Profile Details

NPI number 1528389269
LBN Legal business name Tenisson, Adria Goppelt
Credentials PT, MPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2010
Last updated Dec 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528389269 NPPES
California Other PT22190 PT LICENSE

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