Jennifer Distefano, OT is a
Occupational Therapist based in Fallston, Maryland. Jennifer Distefano is licensed to practice in Maryland (license number 05137) and her current practice location is
1703 Bordeaux Ct, Fallston, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 294-4749.
NPI number for Jennifer Distefano is 1558424713 and her current mailing address is 1703 Bordeaux Ct, Fallston, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558424713.
Healthcare Provider's Profile
Full Name | Jennifer Distefano |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1703 Bordeaux Ct, Fallston, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558424713
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 05/30/2008
Medical Identifiers
Medical identifiers for Jennifer Distefano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558424713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 05137 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Distefano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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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