Individual
LARISA JANELLE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 MILLER RANCH RD, PEARLAND, TX 77584-9763
(713) 770-5300
Mailing address
2016 CREEK RUN DR, PEARLAND, TX 77584-6724
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118272
TX
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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