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MR. ANTHONY MICHAEL DISTEFANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
910 FOULK RD STE 100, WILMINGTON, DE 19803-3158
(302) 477-1536
(302) 477-1564
Mailing address
910 FOULK RD STE 100, WILMINGTON, DE 19803-3158
(302) 477-1536
(302) 477-1564

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0001272
DE

Other

Enumeration date
08/17/2018
Last updated
08/17/2018
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