Individual
PATRICK DESTINOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
174 NW 118TH ST, MIAMI, FL 33168-4431
(305) 794-9455
Mailing address
174 NW 118TH ST, MIAMI, FL 33168-4431
(305) 794-9455
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10690
FL
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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