NPI 1003318056
Jennifer Marie Defazio
Practice location
- Address
- 4200 5th Ave, Pittsburgh, PA 15260-0001
- Phone
- (412) 624-4141
- Mailing address
- 2968 Belrose Ave, Pittsburgh, PA 15216-2015
Registered specialties (2)
Student in an Organized Health Care Education/Training Program
Primary
Athletic Trainer
Registry record
- NPI
- 1003318056
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Mar 2018
- Record last updated
- 6 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.