Individual
ANNA DOMINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
16910 FRANCES ST, SUITE 102, OMAHA, NE 68130-2399
(402) 280-2200
(402) 280-5692
Mailing address
2500 CALIFORNIA PLZ, OCCUPATIONAL THERAPY DEPT., OMAHA, NE 68178-0133
(402) 280-3407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1157
NE
225X00000X
Occupational Therapist
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025291000
—
NE
Enumeration date
11/03/2006
Last updated
12/20/2011
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