Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Lance Destefano, PTA

Individual provider Geriatric Physical Therapist · NPI 1780827998

Mr. Lance Destefano, PTA is a Geriatric Physical Therapist in Syracuse, Nebraska. Licensed in Nebraska. Registered with an NPI since 2009.

Licensed in
NE
In the registry since
2009
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1622 Walnut St
Syracuse, NE 68446-7017
Phone: (402) 269-2251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 827 (NE)

Record details

NPI number1780827998
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 17, 2009
Last updated in NPPESApril 17, 2009

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