Individual
DESTINEE SOBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2980 LEE RD, CAMDEN, NY 13316-4121
(315) 335-8246
Mailing address
2980 LEE RD, CAMDEN, NY 13316-4121
(315) 335-8246
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011472
NY
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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