Individual
MR. JEREMY C DOMINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
49 LYME RD, HANOVER, NH 03755-1205
(603) 643-2854
Mailing address
227 OLD ROUTE 15, CAMBRIDGE, VT 05444-9772
(802) 310-1511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1702
NH
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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