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1174003230
ANTHONY MICHAEL DISTEFANO
WILMINGTON, DE
NPI
1174003230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: DE J2-0001272)
Enumeration Date
2018-08-17
Last Update Date
2018-08-17
Business Address
Mr. ANTHONY MICHAEL DISTEFANO PTA
910 FOULK RD STE 100
WILMINGTON, DE 19803-3158
Phone number: 302-477-1536
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Mailing Address
Mr. ANTHONY MICHAEL DISTEFANO PTA
910 FOULK RD STE 100
WILMINGTON, DE 19803-3158
Phone number: 302-477-1536
Copy
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