IndividualActive
Anthony Distefano, PTA
NPI 1174003230 · Physical Therapy Assistant · Wilmington, DE
Provider details
- NPI number
- 1174003230
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- J2-0001272 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
910 Foulk Rd Ste 100
Wilmington, DE 19803-3158
Phone: (302) 477-1536
Fax: (302) 477-1564
Approximate (ZIP-level) locationGet directions
Mailing address
910 Foulk Rd Ste 100
Wilmington, DE 19803-3158
Registry dates
- Enumerated
- 2018-08-17
- Last updated
- 2018-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.