Individual
CARLEE DOMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1816 LOCUST ST, PITTSBURGH, PA 15219-5920
(412) 368-4400
Mailing address
1816 LOCUST ST, PITTSBURGH, PA 15219-5920
(412) 368-4400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC019228
PA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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