Kohl Destefanis

NPI #1306264866 in Bayville, New York

Provider Information

NPI Number: 1306264866
Entity Type: Individual
Name: Kohl Destefanis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 2, 2014
Last Updated: Apr 2, 2014

Practice Location

Address: 8 BALDWIN BLVD
City: Bayville
State: New York
ZIP Code: 11709-1913
Phone: (516) 662-1136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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