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Individual
MRS. PATRICIA ANN DESTEPHANO
Active
Individual
MRS. PATRICIA ANN DESTEPHANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
OT 2348
FL
225X00000X
Occupational Therapist
Primary
OT2348
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811852300
—
FL
05
—
886429200
—
FL
Enumeration date
01/08/2007
Last updated
03/29/2011
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