Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. NADINE MARY DISTEFANO, OTR/L
Active Sole ProprietorMS. NADINE MARY DISTEFANO, OTR/L is a Occupational Therapist healthcare provider located in MAYWOOD, New Jersey. NPI 1407682966 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MAYWOOD, NJ
Registration Details
- NPI Number
- 1407682966
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2024 (1.9064486953549 yrs)
- Last Updated
- Sep 11, 2024
- License
-
46TR01124300 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
240 W PASSAIC ST STE 3MAYWOOD, NJ, 076071264Browse NJ providers · Browse ZIP 07607
- Phone
- 2012508763
- Fax
- 5512092520
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in MAYWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| POOJA RAGHA | OTR/L | 1700507043 |
| LAUREN BAUTISTA GRAMATICA | — | 1770291304 |
| BEN BOONSTRA | OTR/L | 1508649641 |
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.