Destra, Charles John

Destra, Charles John is an sole proprietor health care provider with primary practice located at 1616 Huntingdon Pike , Meadowbrook PA 19046-8001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Destra, Charles John can be contacted via phone (215) 938-4000.

Contact Information

Primary practice address
1616 Huntingdon Pike Meadowbrook PA 19046-8001
Phone: (215) 938-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OC005061L Pennsylvania

Profile Details

NPI number 1164707683
LBN Legal business name Destra, Charles John
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2011
Last updated Oct 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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