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Individual

MS. CATHY DOMINGUEZ GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA L

Contact information

Practice address
2905 MISSOURI AVE, LAS CRUCES, NM 88011-4813
(575) 522-0404
Mailing address
2905 MISSOURI AVE, LAS CRUCES, NM 88011-4813
(575) 522-0404

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2296
NM
224Z00000X
Occupational Therapy Assistant
3773
AZ

Other

Enumeration date
09/04/2007
Last updated
04/11/2016
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