Individual
DESTINY K WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
483 FRYE FARM RD, GREENSBURG, PA 15601-6480
(724) 804-5621
(724) 804-5615
Mailing address
483 FRYE FARM RD, GREENSBURG, PA 15601-6480
(724) 804-5621
(724) 804-5615
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008103
PA
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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