Individual
MR. JOSEPH DOMINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1567 BUFFENMEYER RD, LATROBE, PA 15650-4713
(724) 961-2332
Mailing address
1567 BUFFENMEYER RD, LATROBE, PA 15650-4713
(724) 961-2332
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005799
PA
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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