Provider Demographics
NPI:1447310800
Name:DI STEFANO, ROSHNI (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:ROSHNI
Middle Name:
Last Name:DI STEFANO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ROSHNI
Other - Middle Name:
Other - Last Name:D'SOUZA-DI STEFANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:664 SQUIRREL HILL DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-5334
Mailing Address - Country:US
Mailing Address - Phone:330-965-6397
Mailing Address - Fax:330-965-6476
Practice Address - Street 1:7630 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-5633
Practice Address - Country:US
Practice Address - Phone:330-729-8262
Practice Address - Fax:330-729-8269
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT009056225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist