Individual
CAROLINE ANNE DOMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13801 ST FRANCIS BLVD, MIDLOTHIAN, VA 23114-3206
(804) 320-4064
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119-009636
VA
Other
Enumeration date
09/08/2022
Last updated
10/10/2022
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