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Brenna Destefano, MSOT, OTR/L
NPI 1316583347 · on the registry since 2019
Practice
- Address
- 396 Danbury Rd Ste 2a
Wilton, CT 06897 - Phone
- (203) 422-2193
- Organisation at this address
- Wilton Ob/Gyn, Llc
Dynamic Edge Physiotherapy Llc
Dermatology Institute & Wellness Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Additional practice sites
- 78 Harvard Ave Ste 220, Stamford, CT
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- NY, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-25
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