STACEY DESTIN

BRONX, NY
NPI1538544812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  019744-1)
Enumeration Date2015-07-28
Last Update Date2015-07-28
Business Address
-- STACEY DESTIN OTR/L
1775 GRAND CONCOURSE
BRONX, NY 10453-8202
Phone number: 718-901-8119
Mailing Address
-- STACEY DESTIN OTR/L
1775 GRAND CONCOURSE
BRONX, NY 10453-8202
Phone number:
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