JENNIFER DETLEFSEN

BETHLEHEM, CT
NPI1053825067
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT  764)
Enumeration Date2017-11-29
Last Update Date2017-11-29
Business Address
JENNIFER DETLEFSEN ATC, MHA
57 LONG MEADOW RD
BETHLEHEM, CT 06751-1116
Phone number: 203-405-3369
Mailing Address
JENNIFER DETLEFSEN ATC, MHA
57 LONG MEADOW RD
BETHLEHEM, CT 06751-1116
Phone number: 203-405-3369