Individual
MR. ALEJANDRO DOMINGO SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
6200 OREGON AVE NW, WASHINGTON, DC 20015-1543
(202) 541-0403
Mailing address
1743 HAMPTON CT, BONITA, CA 91902-4011
(909) 374-0001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119004495
VA
225X00000X
Occupational Therapist
05746
MD
225X00000X
Occupational Therapist
Primary
OT010000400
DC
225X00000X
Occupational Therapist
OT4122
CA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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