Individual
DOMINIQUE NICOLE MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
300 FRANKLIN DR, GLEN MILLS, PA 19342-1383
(610) 228-4356
Mailing address
300 FRANKLIN DR, GLEN MILLS, PA 19342-1383
(610) 228-4356
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016066
PA
Other
Enumeration date
06/04/2021
Last updated
06/07/2021
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