Individual
NICOLE DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
300 BAILEY AVE, UNIONTOWN, PA 15401-2461
(814) 327-1188
Mailing address
3200 S WATER ST, PITTSBURGH, PA 15203-2307
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003808
PA
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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