Individual
JULIE DOMINIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1135
Mailing address
4010 CINWOOD ST NW, MASSILLON, OH 44646-5113
Taxonomy
Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
002471
OH
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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