Individual
PATRICK DESTREZA MALANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8707
Mailing address
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007876A
IN
Other
Enumeration date
11/18/2022
Last updated
01/28/2026
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