Individual
CAROLYNN V DISTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8936
(973) 325-0825
Mailing address
333 COUNTRY CLUB RD, BRIDGEWATER, NJ 08807-2402
(201) 280-0478
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00765300
NJ
Other
Enumeration date
09/22/2006
Last updated
02/13/2008
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