Individual provider · NPI-1

Destiny Amos, OT

Occupational Therapist · Stafford, TX

NPI number1790334860
StatusActive
Last updated in NPPESNov 1, 2023

Details

NPI
1790334860
Entity type
Individual (NPI-1)
Name
Destiny Amos
Credential
OT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 10, 2019
Certification date
Nov 1, 2023
Last updated
Nov 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist124180TXYes

Practice location

12371 S Kirkwood Rd
Stafford, TX 77477-2836

Phone 713-773-5100

Mailing address

12371 S Kirkwood Rd
Stafford, TX 77477-2836

Phone 713-773-5100

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