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

CAROLYNN V DISTEFANO, PT

Active Sole Proprietor

CAROLYNN V DISTEFANO, PT is a Physical Therapy Assistant healthcare provider located in BERKELEY HEIGHTS, New Jersey. NPI 1760581110 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BERKELEY HEIGHTS, NJ

Registration Details

NPI Number
1760581110
Provider Type
Individual
Gender
Female
NPI Issued
Sep 22, 2006 (19.886952843932 yrs)
Last Updated
Feb 13, 2008
License
40QA00765300 (NJ)
Sole Proprietor
Yes

Practice Information

Address
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ, 079222104
Browse NJ providers · Browse ZIP 07922
Phone
9082778936
Fax
9733250825
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BERKELEY HEIGHTS, NJ

Name Credential NPI
LAURA J ATCACHUNAS PT 1821084245
CHRISTINE M MICHALCZYK PT 1225025166
LISA A MURRAY PT 1972590750
DAVID A FORLANDER PT 1528056090
KARIN MELVIN PT 1154301778
DEBRA A RYAN PT 1013989045
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.