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Destiny Unique Childress
Rehabilitation Practitioner in San Diego, California
NPI 1124870159

Destiny Unique Childress is a Rehabilitation Practitioner based in San Diego, CA. Destiny Unique Childress practices in San Diego, CA. The NPI Number for Destiny Unique Childress is 1124870159 and holds a License No. (California).

The current practice location address for Destiny Unique Childress is 3132 Jefferson St, San Diego, CA and can be reached out via phone at 619-683-3100.

Location: 3132 Jefferson St, San Diego, CA, 92110-4421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124870159
Provider Name
Destiny Unique Childress
Credential
Provider Entity Type
Individual
Gender
Female
Address
3132 Jefferson St, San Diego, CA, 92110-4421
Phone Number
619-683-3100
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3132 Jefferson St
City
San Diego
State
California
Zip
92110-4421
Phone Number
619-683-3100
Fax Number
person
Provider Business Mailing Address Details
Address
3132 Jefferson St
City
San Diego
State
California
Zip
92110-4421
Phone Number
619-683-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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