ROBERT K DESTEFANO

TOMS RIVER, NJ
NPI1285742700
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2006-08-25
Last Update Date2007-07-08
Business Address
Mr. ROBERT K DESTEFANO ATC
711 HOOPER AVE
TOMS RIVER, NJ 08753-7716
Phone number: 734-349-8801
Mailing Address
Mr. ROBERT K DESTEFANO ATC
553 MARTIN RD
TOMS RIVER, NJ 08753-6067
Phone number: 732-506-6491