SearchConnecticut2255A2300X

Jennifer Detlefsen, ATC, MHA

NPI 1053825067 · on the registry since 2017 · sole proprietor

Practice

Address
57 Long Meadow Rd
Bethlehem, CT 06751
Phone
(203) 405-3369

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut