Individual
ALISA DOMANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13 WILTSHIRE DR, MANALAPAN, NJ 07726-3570
(908) 770-6158
Mailing address
13 WILTSHIRE DR, MANALAPAN, NJ 07726-3570
(908) 770-6158
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00648300
NJ
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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