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1316674617
JOHN DETIENNE
NEW CANAAN, CT
NPI
1316674617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 012450)
Enumeration Date
2022-08-05
Last Update Date
2022-08-05
Business Address
Dr. JOHN DETIENNE PT, DPT, RYT-200
HSS SPORTS REHAB 564 SOUTH AVENUE
NEW CANAAN, CT 06840
Phone number: 203-276-8597
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Mailing Address
Dr. JOHN DETIENNE PT, DPT, RYT-200
334 WESTOVER RD
STAMFORD, CT 06902-1929
Phone number: 202-213-6047
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