Individual
REBECCA DOMKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 RIVERSIDE DR, COLUMBUS, OH 43212-1855
(614) 324-2117
Mailing address
1800 RIVERSIDE DR, COLUMBUS, OH 43212-1855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005967
OH
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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