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Individual

MRS. TAMARA DOMKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
105 N MAIN ST, SUITE 205, MANSFIELD, OH 44902-7669
(419) 522-4969
Mailing address
1901 SNYDER RD, BUTLER, OH 44822-9691
(419) 631-8121

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005027
OH
225XE1200X
Ergonomics Occupational Therapist
005027
OH
225XH1300X
Human Factors Occupational Therapist
005027
OH
225XN1300X
Neurorehabilitation Occupational Therapist
005027
OH

Other

Enumeration date
06/22/2007
Last updated
08/10/2012
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