Provider Demographics
NPI:1548525322
Name:ESKER, ANTHONY (PTA)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:ESKER
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 CHRISTY RD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-9790
Mailing Address - Country:US
Mailing Address - Phone:419-334-9521
Mailing Address - Fax:
Practice Address - Street 1:600 N BRUSH ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-1402
Practice Address - Country:US
Practice Address - Phone:419-334-9521
Practice Address - Fax:419-334-2045
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02699225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant