Individual
MRS. JENNY DORRIS DOMIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1817 CLEARY AVE, METAIRIE, LA 70001-2625
(504) 831-2321
(504) 831-8388
Mailing address
1817 CLEARY AVE, METAIRIE, LA 70001-2625
(504) 831-2321
(504) 831-8388
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.Z11942
LA
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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