Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Anthony Destefon, OTR

Individual provider Occupational Therapist · NPI 1205956224

Mr. Michael Anthony Destefon, OTR is an Occupational Therapist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

310 Thyme Ln
Philadelphia, PA 19128-4554
Phone: (215) 483-5687
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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 OC003635L (PA)

Record details

NPI number1205956224
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedMarch 31, 2007
Last updated in NPPESJuly 8, 2007

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