Individual
JESSICA SUE DETTORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, MED
Contact information
Practice address
3200 S WATER ST, PITTSBURGH, PA 15203-2307
(412) 432-3770
Mailing address
119 BAYWOOD AVE, APT. 7B, PITTSBURGH, PA 15228-1349
(724) 494-3234
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003697
PA
Other
Enumeration date
02/22/2006
Last updated
12/16/2008
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