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Mr. Michael Joseph Distefano, PT
Orthopedic Physical Therapist in San Diego, California
NPI 1396732715

Michael Joseph Distefano is a Orthopedic Physical Therapist based in San Diego, CA and is specialized in Orthopedic. Michael Joseph Distefano practices in San Diego, CA and has the professional credentials of PT. The NPI Number for Michael Joseph Distefano is 1396732715 and holds a License No. 41475 (California).

The current practice location address for Michael Joseph Distefano is 4650 Palm Ave, San Diego, CA and can be reached out via phone at 619-662-5277.

Location: 4650 Palm Ave, San Diego, CA, 92154-8404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396732715
Provider Name
Michael Joseph Distefano
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
4650 Palm Ave, San Diego, CA, 92154-8404
Phone Number
619-662-5277
Fax Number
Provider Enumeration Date
09/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q88121 01 NY BCBS
ANC890 01 NY OXFORD
institution
Provider Business Practice Location Address Details
Address
4650 Palm Ave
City
San Diego
State
California
Zip
92154-8404
Phone Number
619-662-5277
Fax Number
person
Provider Business Mailing Address Details
Address
4650 Palm Ave
City
San Diego
State
California
Zip
92154-8404
Phone Number
619-662-5277
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
41475 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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