Destefano, Brita

Destefano, Brita is an sole proprietor health care provider with primary practice located at 3015 S Gaylord St , Denver CO 80210. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Destefano, Brita can be contacted via phone (512) 573-4651.

Contact Information

Primary practice address
3015 S Gaylord St Denver CO 80210
Phone: (512) 573-4651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3369 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 0012137 Colorado

Profile Details

NPI number 1861776288
LBN Legal business name Destefano, Brita
Credentials PT, DPT, PCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2011
Last updated Sep 18th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861776288 NPPES
Arkansas MEDICAID 188348721

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