Individual
MRS. DEBORAH ANNE DESTEFANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, PTA, CPFT
Contact information
Practice address
1402 GENESEE ST, SUITE 201, UTICA, NY 13502-4727
(315) 269-4047
Mailing address
1402 GENESEE ST, SUITE 201, UTICA, NY 13502-4727
(315) 269-4047
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
012206
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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