Individual
ELIZABETH DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3904 VICTORIA DR, WEST PALM BEACH, FL 33406-4997
(561) 410-1450
Mailing address
3904 VICTORIA DR, WEST PALM BEACH, FL 33406-4997
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17022
FL
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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