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Individual

MRS. GITTA DOMSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3703 W LAKE AVE, GLENVIEW, IL 60026-5823
(773) 274-4787
Mailing address
3005 W CHASE AVE, CHICAGO, IL 60645-1123
(773) 274-4787

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.003752
IL

Other

Enumeration date
04/30/2008
Last updated
04/30/2008
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