Destiny Draper, PTA
NPI #1356092852 in Bentonville, Arkansas
Provider Information
- NPI Number
- 1356092852
- Entity Type
- Individual
- Name
- Destiny Draper, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Medicine & Rehabilitation
- Credential
- PTA
- Enumeration Date
- Jan 16, 2022
- Last Updated
- Jan 16, 2022
Practice Location
- Address
- 201 SW 14TH ST STE 205
- City
- Bentonville
- State
- Arkansas
- ZIP Code
- 72712-7771
- Phone
- (419) 294-2465
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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