Individual provider · Type 1 NPI

Christopher Paul Distefano, DPT

Pediatric Physical Therapist · Ridgewood, NY

NPI number 1396003109 Active

Practice location

1822 Stephen St
Ridgewood, NY 11385-5813

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X62 033038 (NY)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1396003109

Christopher Paul Distefano, DPT's National Provider Identifier is 1396003109, issued on Apr 30, 2012. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Ridgewood, NY. The record was last updated on Apr 30, 2012.