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Organization
STEVEN DISTEFANO PA
Active
Organization
STEVEN DISTEFANO PA
Active
Other names
Gateway To Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN ALEXANDER DISTEFANO PTA (PRESIDENT)
(561) 736-9899
Entity
Organization
Contact information
Practice address
4895 WINDWARD PASSAGE DR, ST. #3, BOYNTON BEACH, FL 33436-7741
(561) 736-9899
(561) 736-2483
Mailing address
6749 LAS COLINAS ST, LAKE WORTH, FL 33463-6566
(561) 641-4727
(561) 641-4455
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA14688
FL
Other
Enumeration date
06/15/2006
Last updated
08/22/2020
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