Jennifer Distefano, OT

NPI #1558424713 in Fallston, Maryland

Provider Information

NPI Number: 1558424713
Entity Type: Individual
Name: Jennifer Distefano, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Dec 19, 2006
Last Updated: May 30, 2008

Practice Location

Address: 1703 BORDEAUX CT
City: Fallston
State: Maryland
ZIP Code: 21047-2107
Phone: (410) 294-4749

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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