Individual
AMANDA S DOMINY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1022 PRESIDENTIAL CORRIDOR, CALDWELL, TX 77836-4611
(979) 567-0920
Mailing address
PO BOX 196, LEXINGTON, TX 78947-0196
(979) 540-7719
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217045
TX
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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