Individual
TANNYA DASTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 MAPLEWOOD DR, GREENACRES, FL 33415-1452
(770) 318-4522
Mailing address
805 MAPLEWOOD DR, GREENACRES, FL 33415-1452
(770) 318-4522
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
FL
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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