Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Van Iderstine

Individual provider Physical Therapy Assistant · NPI 1710420104

Stephanie Van Iderstine is a Physical Therapy Assistant in East Longmeadow, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2016.

Licensed in
MA
In the registry since
2016

Practice location Address checks out

305 Maple St
East Longmeadow, MA 01028-2765
Phone: (413) 525-6361
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9202 (MA)

Record details

NPI number1710420104
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2016
Last updated in NPPESDecember 2, 2016

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