Individual
MRS. MARY ANN DISTEFANO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3 SPRING ST, WAPPINGERS FALLS, NY 12590-2424
(845) 297-4110
(845) 298-7099
Mailing address
3 SPRING ST, WAPPINGERS FALLS, NY 12590-2424
(845) 297-4110
(845) 298-7099
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5069
NY
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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