Individual
MRS. DEANNA M DOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 N KOHLER RD, ORRVILLE, OH 44667-9249
(330) 317-0040
(330) 642-0073
Mailing address
1585 N KOHLER RD, ORRVILLE, OH 44667-9249
(330) 317-0040
(330) 642-0073
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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