Individual provider · Type 1 NPI
Destenee Kimi-Taylor Pham
Occupational Therapist · Bristol, TN
Practice location
501 Martindale Rd
Bristol, TN 37620-6152
Mailing address
1091 Embreville Rd
Johnson City, TN 37604-7046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | 24083 (FL) |
Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…
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About NPI 1154025534
Destenee Kimi-Taylor Pham's National Provider Identifier is 1154025534, issued on Mar 29, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Bristol, TN. The record was last updated on Feb 11, 2025.