National Provider Identifier
Wendy Distasio
Wendy Distasio is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Rochester, NY and a listed phone number of (585) 697-6000.
Profile Overview
- NPI
- 1649851288
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- April 15, 2021
- Last Updated
- April 15, 2021
Practice Location
- 1500 Portland Ave
- Rochester, NY 14621-3065
Phone: (585) 697-6000
Mailing Address
- 312 Imperial Cir
- Rochester, NY 14617-3225
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1649851288
- Entity Type
- Individual
- Last Name
- Distasio
- First Name
- Wendy
- Mailing Street Address
- 312 Imperial Cir
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-3225
- Mailing Country
- US
- Mailing Phone
- (585) 704-5579
- Practice Street Address
- 1500 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3065
- Practice Country
- US
- Practice Phone
- (585) 697-6000
- Enumeration Date
- April 15, 2021
- Last Updated
- April 15, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)