Individual
KANDYL K DOMANGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
127 HIGHWAY 22 E, UNIT N5, MADISONVILLE, LA 70447-9306
(985) 209-9239
(985) 792-7186
Mailing address
127 HIGHWAY 22 E, UNIT N5, MADISONVILLE, LA 70447-9306
(985) 209-9239
(985) 792-7186
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200287
LA
Other
Enumeration date
02/10/2009
Last updated
07/27/2009
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