Jennifer Detlefsen, ATC, MHA
NPI #1053825067 in Bethlehem, Connecticut
Provider Information
- NPI Number
- 1053825067
- Entity Type
- Individual
- Name
- Jennifer Detlefsen, ATC, MHA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, MHA
- Enumeration Date
- Nov 29, 2017
- Last Updated
- Nov 29, 2017
Practice Location
- Address
- 57 LONG MEADOW RD
- City
- Bethlehem
- State
- Connecticut
- ZIP Code
- 06751-1116
- Phone
- (203) 405-3369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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