MR. Charles John Destra, OTR/L
NPI #1164707683 in Meadowbrook, Pennsylvania
Provider Information
- NPI Number
- 1164707683
- Entity Type
- Individual
- Name
- MR. Charles John Destra, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Oct 16, 2011
- Last Updated
- Oct 16, 2011
Practice Location
- Address
- 1616 HUNTINGDON PIKE
- City
- Meadowbrook
- State
- Pennsylvania
- ZIP Code
- 19046-8001
- Phone
- (215) 938-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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