Secili H Destefano, PT, OCS

NPI #1982777157 in Sterling, Virginia

Provider Information

NPI Number: 1982777157
Entity Type: Individual
Name: Secili H Destefano, PT, OCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, OCS
Enumeration Date: Nov 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 45945 CENTER OAK PLZ
Address 2: SUITE 150
City: Sterling
State: Virginia
ZIP Code: 20166-6572
Phone: (703) 406-0296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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