Organization
STEPHANIE C SPINELLI AND ASSOCIATES
Active
Other names
DISTINCTIVE PEDIATRIC THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE CASERTA SPINELLI OTR/L (PRESIDENT)
(407) 896-1152
Entity
Organization
Contact information
Practice address
427 N MAGNOLIA AVE STE 100, ORLANDO, FL 32801-1524
(407) 896-1152
(407) 872-3014
Mailing address
22 LAKE BEAUTY DR STE 304, ORLANDO, FL 32806-2040
(407) 896-1152
(407) 872-3014
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2265418
AETNA HM0
FL
01
—
5410590
AETNA PPO
FL
05
—
882631500
—
FL
01
—
Z5844
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/08/2006
Last updated
02/10/2023
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