Individual
DOMINIQUE KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
753 DALHART AVE, ROMEOVILLE, IL 60446-1156
(815) 866-7827
Mailing address
6R FERNWOOD DR, BOLINGBROOK, IL 60440-2947
(630) 873-9210
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.006226
IL
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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