Individual
CYNTHIA DOMINGUE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7600 WILD ONION DR, AUSTIN, TX 78744-7013
(512) 241-9635
Mailing address
7600 WILD ONION DR, AUSTIN, TX 78744-7013
(512) 241-9635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119006160
VA
225X00000X
Occupational Therapist
10035
NC
225X00000X
Occupational Therapist
Primary
111251
TX
225X00000X
Occupational Therapist
12197
MA
225X00000X
Occupational Therapist
15221
CA
225X00000X
Occupational Therapist
8877038-4201
UT
225X00000X
Occupational Therapist
OC012303
PA
Other
Enumeration date
12/28/2011
Last updated
10/10/2018
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