Individual
MRS. MICHAELA J DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10601 S 72ND ST STE 103, PAPILLION, NE 68046-3408
(402) 932-2782
(402) 932-2705
Mailing address
10601 S 72ND ST STE 103, PAPILLION, NE 68046-3408
(402) 932-2782
(402) 932-2705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2209
NE
Other
Enumeration date
06/28/2018
Last updated
10/28/2019
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