Individual provider · Type 1 NPI

Madison Distasio

Occupational Therapist · Wayne, PA

NPI number 1336741941 Active

Practice location

999 Old Eagle School Rd Ste 106
Wayne, PA 19087-1707

Fax (877) 407-4329

Mailing address

7 Carnegie Plz
Cherry Hill, NJ 08003-1000

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOC017263 (PA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1336741941

Madison Distasio's National Provider Identifier is 1336741941, issued on Nov 10, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Wayne, PA. The record was last updated on Jan 23, 2023.