Individual
MS. DOMINICA DEE STITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9710 W CAPITOL DR, MILWAUKEE, WI 53222-1432
(414) 881-8825
Mailing address
9710 W CAPITOL DR, MILWAUKEE, WI 53222-1432
(414) 881-8825
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4705-27
WI
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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