| NPI | 1588287163 |
|---|---|
| Doing Business As | DESTINATION THERAPY |
| Entity Type | Organization |
| Authorized Contact | ZEMELDA D. CARR Adm & Auth Rep 817-473-1312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2021-07-30 |