Search › Connecticut › 2255A2300X
Michael Distefano, MA, ATC, CSCS, PES
NPI 1558803551 · on the registry since 2016
Practice
- Address
- 9 Dog Ln
Suite 108
Storrs, CT 06268 - Phone
- (860) 429-0899
- Organisation at this address
- Select Physical Therapy Of Connecticut Limited Partnership
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-08
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