Individual
DESTINY ARCHIBALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHESTNUT ST APT 604, PROVIDENCE, RI 02903-4125
(401) 286-3868
Mailing address
1 CHESTNUT ST APT 604, PROVIDENCE, RI 02903-4125
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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