Individual
MS. STEPHANIE LYNNE DISTASI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1112 16TH ST NW, SUITE 200, WASHINGTON, DC 20036-4823
(202) 223-1737
(202) 223-1738
Mailing address
930 M ST NW, APT 616, WASHINGTON, DC 20001-4365
(202) 494-5353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20928
DC
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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