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Michael Destefon, OTR

NPI 1205956224 · on the registry since 2007

Practice

Address
310 Thyme Ln
Philadelphia, PA 19128
Phone
(215) 483-5687

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania