| Jennifer Distefano, OT | |
|
1703 Bordeaux Ct, Fallston, MD 21047-2107 | |
| (410) 294-4749 | |
| Not Available |
| Full Name | Jennifer Distefano |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1703 Bordeaux Ct, Fallston, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558424713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 05137 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Distefano, OT 1703 Bordeaux Ct, Fallston, MD 21047-2107 Ph: () - | Jennifer Distefano, OT 1703 Bordeaux Ct, Fallston, MD 21047-2107 Ph: (410) 294-4749 |
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