Diformato, Stephanie Marcia Petra

Diformato, Stephanie Marcia Petra is an sole proprietor health care provider with primary practice located at 7 Peyton Pl , Palm Coast FL 32164-4744. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Diformato, Stephanie Marcia Petra can be contacted via phone (386) 793-3898.

Contact Information

Primary practice address
7 Peyton Pl Palm Coast FL 32164-4744
Phone: (386) 793-3898
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA 11434 Florida

Profile Details

NPI number 1992000459
LBN Legal business name Diformato, Stephanie Marcia Petra
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2011
Last updated Jan 14th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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