NPI 1538688916

Destiny Faith Douglas

Practitioner Recreation Therapist West Columbia, SC

Practice location

Address: 2091 Sams Elbow Rd, West Columbia, SC 29170-1114
Phone: (803) 477-7136
Mailing address: 328 Joshua Tree CT, Blythewood, SC 29016-7203

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in South Carolina →

Registry record

NPI: 1538688916
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2017
Record last updated: 16 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.