GEORGIA DENISE DISTEFANO

MERRIAM, KS
NPI1770795619
Professional NameDENISE DISTEFANO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KS  1700373)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
MS. GEORGIA DENISE DISTEFANO OTR
6700 ANTIOCH STE 430
MERRIAM, KS 66204
Phone number: 913-652-9229
Mailing Address
MS. GEORGIA DENISE DISTEFANO OTR
19303 WEST 64TH TERRACE
SHAWNEE, KS 66218
Phone number: 913-962-9818
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