Most Relevant Information
Provider Data
| NPI Number: | 1003241936 |
| Provider Name: | JENNIFER DESTITO OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 943 |
Most Important Dates
| Enumeration Date: | 09/11/2013 |
| Last Updated: | 09/11/2013 |
Provider Practice Location
308 E B SAUNDERS WAY
CLARKSBURG
WV
26301
Practice Location Phone/Fax
| Phone: | 3046246554 |
| Fax: | 3046245223 |
Provider Mailing Location
1201 N 15TH ST
CLARKSBURG
WV
263011989
Provider Mailing Phone/Fax
| Phone: | 3046246554 |
| Fax: | 3046245223 |