Giavanna Desimone, LAT, ATC
NPI #1740883719 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1740883719
- Entity Type
- Individual
- Name
- Giavanna Desimone, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Nov 20, 2020
- Last Updated
- Nov 20, 2020
Practice Location
- Address
- 321 GOFFLE RD
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-4033
- Phone
- (201) 206-1516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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