Individual provider · Type 1 NPI

Lynne Distefano, PTA

Physical Therapy Assistant · Staten Island, NY

NPI number 1861215931 Active

Practice location

4363 Amboy Rd
Staten Island, NY 10312-3819

Mailing address

114 Armstrong Ave
Staten Island, NY 10308-3303

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X005177 (NY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1861215931

Lynne Distefano, PTA's National Provider Identifier is 1861215931, issued on Nov 6, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Staten Island, NY. The record was last updated on Nov 6, 2024.