Individual
MRS. KRISTIN DOMVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11311 CORAL KEY DR, BOCA RATON, FL 33498-1964
(561) 997-4648
Mailing address
11311 CORAL KEY DR, BOCA RATON, FL 33498-1964
(561) 997-4648
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
63014125
NY
225X00000X
Occupational Therapist
Primary
OT12166
FL
Other
Enumeration date
12/08/2011
Last updated
10/25/2024
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