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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOUGLAS LOGAN DISTEFANO, DPT

Active Sole Proprietor

DOUGLAS LOGAN DISTEFANO, DPT is a Physical Therapy Assistant healthcare provider located in HOT SPRINGS VILLAGE, Arkansas. NPI 1225537525 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HOT SPRINGS VILLAGE, AR

Registration Details

NPI Number
1225537525
Provider Type
Individual
Gender
Male
NPI Issued
Feb 2, 2018 (8.4850663105094 yrs)
Last Updated
Mar 17, 2018
License
1300819 (TX)
Sole Proprietor
Yes

Practice Information

Address
100 CALELLA RD STE 100
HOT SPRINGS VILLAGE, AR, 719093174
Browse AR providers · Browse ZIP 71909
Phone
5019842453
Fax
5015251773
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in HOT SPRINGS VILLAGE, AR

Name Credential NPI
MS. SAMI JO MAGOFFIN 1558359059
MR. MARTIN KEVEN MILNER MS,PT 1063473924
ANGIE LYNN MORROW DPT 1619931912
MRS. MALINDA L SMITH 1336234343
TERRI LEE HUMMEL PT 1164695169
RODONNA RANOLA NEEDLES PT 1881869006
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.