Individual
DOMINIQUE DORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 N LOOP 250 W, MIDLAND, TX 79707-6011
(432) 699-3401
Mailing address
3313 HAYNES AVE, MIDLAND, TX 79707-3600
(432) 349-9361
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123090
TX
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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