Individual
MRS. MARISOL DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6455 PEARL RD, PARMA HEIGHTS, OH 44130-2984
(440) 887-6100
Mailing address
10251 HUNTINGTON PARK DR, STRONGSVILLE, OH 44136-2574
(144) 057-2342
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01360
OH
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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