Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaime Destefano, OTR/L

Individual provider Occupational Therapist · NPI 1871912196

Jaime Destefano, OTR/L is an Occupational Therapist in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2014
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

16820 Macanthra Dr
Charlotte, NC 28213-4879
Phone: (612) 987-0375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 9148 (NC)

Record details

NPI number1871912196
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedApril 15, 2014
Last updated in NPPESAugust 2, 2023
Certification dateAugust 1, 2023

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