Active NPIIndividual provider

Brenna N Destefano, MSOT, OTR/L

Occupational Therapist in Wilton, Connecticut

NPI Number1316583347
Practice location
396 Danbury RD Ste 2A, Wilton, CT 06897-2024
Fax
—
Last updated
November 25, 2019

Brenna Natalia Destefano is an Occupational Therapist based in Wilton, CT. Brenna Natalia Destefano practices in Wilton, CT and has the professional credentials of MSOT, OTR/L. The NPI Number for Brenna Natalia Destefano is 1316583347 and holds a License No. 024161 (NY). The current practice location address for Brenna Natalia Destefano is 396 Danbury RD Ste 2A, Wilton, CT 06897-2024 and can be reached out via phone at 203-422-2193.

Provider Profile Details

NPI Number
1316583347
Provider Name
Brenna Natalia Destefano
Credential
MSOT, OTR/L
Provider Entity Type
Individual
Gender
Female
Address
396 Danbury RD Ste 2A, Wilton, CT 06897-2024
Phone Number
203-422-2193
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
November 25, 2019
Last Update Date
November 25, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
396 Danbury RD Ste 2A
Wilton, CT 06897-2024
City
Wilton
Zip
06897-2024
Phone Number
203-422-2193
Wilton, CT 06897Get directions →

Provider Business Mailing Address Details

Address
333 Vincellette St Unit 103
Bridgeport, CT 06606-2267
City
Bridgeport
State
CT
Zip
06606-2267
Phone Number
570-640-4194

License Information

License Number (1)
024161
License State (1)
NY
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
5274
License State (2)
CT
Taxonomy (2)
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brenna N Destefano, MSOT, OTR/L?

The NPI number of Brenna N Destefano, MSOT, OTR/L is 1316583347. It was assigned on November 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Brenna N Destefano, MSOT, OTR/L?

Brenna N Destefano, MSOT, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NY under license number 024161.

Where does Brenna N Destefano, MSOT, OTR/L practice?

The practice location is 396 Danbury RD Ste 2A, Wilton, CT 06897-2024. The office can be reached at 203-422-2193 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316583347 directly on the NPPES registry website.

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