| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ASHLEY NICOLE DESTEFANO | 1184219677 | 2021-10-14 |
Ashley Nicole Destefano is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1184219677. Registration indicates Ashley Nicole Destefano is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Ashley Nicole Destefano MOT OTR |
| Practice Office Address | 7112 BRADDOCK RD ANNANDALE, VA US |
| Practice Office Telephone | 7032562525 |
| Mailing Address | 137 JASPER PL ALEXANDRIA, VA 223044905 US |
| Business Telephone | 7406328774 |
| Code | Practice | License No State |
|---|---|---|
| 225X00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers |