Individual
AMIE DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LONGSDORF WAY, CARLISLE, PA 17015-7623
(717) 245-9941
Mailing address
411 LUTHER RD, HARRISBURG, PA 17111-2053
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1002775
PA
Other
Enumeration date
08/20/2014
Last updated
03/28/2016
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