Mckenzie Garvey Distefano

NPI #1225462559 in Wenham, Massachusetts

Provider Information

NPI Number: 1225462559
Entity Type: Individual
Name: Mckenzie Garvey Distefano
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 22, 2013
Last Updated: Feb 17, 2016

Practice Location

Address: 255 GRAPEVINE RD
City: Wenham
State: Massachusetts
ZIP Code: 01984-1813
Phone: (978) 867-4095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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