Individual
LISA DOMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR,CHT
Contact information
Practice address
3001 EDWARDS MILL RD # 200, RALEIGH, NC 27612-5243
(919) 863-6872
(919) 781-5246
Mailing address
503 GRASSLANDS RD, VALHALLA, NY 10595-1503
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
—
NC
Other
Enumeration date
04/17/2007
Last updated
08/07/2019
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