Individual
COURTNEY DOMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17-03640
KS
225X00000X
Occupational Therapist
Primary
2019034544
MO
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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