Individual
MISS EUNICE ORILLAZA DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9135 97TH ST, WOODHAVEN, NY 11421-2727
(917) 742-0128
Mailing address
9135 97TH ST, WOODHAVEN, NY 11421-2727
(917) 742-0128
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018183-1
NY
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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