Individual provider · Type 1 NPI

Charles John Destra, OTR/L

Occupational Therapist · Meadowbrook, PA

NPI number 1164707683 Active

Practice location

1616 Huntingdon Pike
Meadowbrook, PA 19046-8001

Call (215) 938-4000 Map

Mailing address

711 Pecan Dr
Philadelphia, PA 19115-2817

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOC005061L (PA)

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 1164707683

Charles John Destra, OTR/L's National Provider Identifier is 1164707683, issued on Oct 16, 2011. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Meadowbrook, PA. The record was last updated on Oct 16, 2011.