Individual
ABBY DOMSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 ROSEWOOD TERRANCE, CHEEKTOWAGA, NY 14225
(716) 844-7702
Mailing address
13779 GENESEE RD, CHAFFEE, NY 14030
(716) 353-5992
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029447
NY
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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