MADISON DISTASIO
Occupational Therapist
Active
Individual
NPI: 1336741941
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes | OC017263 (PA) |
Frequently Asked Questions
NPI 1336741941 is the National Provider Identifier for MADISON DISTASIO, a Occupational Therapist provider located in Wayne, PA. This NPI was enumerated on November 10, 2020.
MADISON DISTASIO practices at 999 OLD EAGLE SCHOOL RD STE 106, Wayne, PA 19087.
Quick Facts
- NPI
- 1336741941
- Type
- Individual
- Enumerated
- Nov 10, 2020
- Last Updated
- Jan 23, 2023
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