Individual
PAUL JOHN DOMENICHINI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2750 MILLER RANCH RD, PEARLAND, TX 77584-9763
(713) 770-5300
Mailing address
2425 HOLLY HALL ST APT H106, HOUSTON, TX 77054-3945
(713) 933-8397
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
243431
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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