Organization
A. DOMINGUEZ OTR, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA FENTON OTR (OWNER)
(832) 818-4206
Entity
Organization
Contact information
Practice address
6407 PORTUGUESE BEND DR, MISSOURI CITY, TX 77459-5027
(832) 818-4206
Mailing address
6407 PORTUGUESE BEND DR, MISSOURI CITY, TX 77459-5027
(832) 818-4206
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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