Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES JOHN DESTRA, OTR/L
Active Sole ProprietorMR. CHARLES JOHN DESTRA, OTR/L is a Occupational Therapist healthcare provider located in MEADOWBROOK, Pennsylvania. NPI 1164707683 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MEADOWBROOK, PA
Registration Details
- NPI Number
- 1164707683
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2011 (14.808397335686 yrs)
- Last Updated
- Oct 16, 2011
- License
-
OC005061L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1616 HUNTINGDON PIKEMEADOWBROOK, PA, 190468001Browse PA providers · Browse ZIP 19046
- Phone
- 2159384000
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in MEADOWBROOK, PA
| Name | Credential | NPI |
|---|---|---|
| MRS. MERSHON WARTHEN HINKEL | OTR/L | 1457308900 |
| MRS. GAY JUNTEREAL RIVERO | OTR | 1639430135 |
| ABBY L JAKL | OT | 1124377783 |
| MICHELE RENEE MILLAR | MS,OTR/L | 1225371990 |
| JULIA ANDRAKA | — | 1811305782 |
| ASHLEY LAUREN HERTLEIN | OTR/L | 1902204118 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.