MICHAEL DISTEFANO

STORRS, CT
NPI1558803551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT  000608)
Enumeration Date2016-11-08
Last Update Date2016-11-08
Business Address
Mr. MICHAEL DISTEFANO MA, ATC, CSCS, PES
9 DOG LN SUITE 108
STORRS, CT 06268-2239
Phone number: 860-429-0899
Mailing Address
Mr. MICHAEL DISTEFANO MA, ATC, CSCS, PES
90 JONATHAN LN
STORRS MANSFIELD, CT 06268-2775
Phone number:
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