Individual
MS. NADINE MARY DISTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
240 W PASSAIC ST STE 3, MAYWOOD, NJ 07607-1264
(201) 250-8763
(551) 209-2520
Mailing address
60 MILFORD LN # 2D, SUFFERN, NY 10901-7939
(551) 427-2957
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01124300
NJ
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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