Individual
DOMINIQUE SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 5TH ST NW, WASHINGTON, DC 20011-1336
(202) 576-6156
Mailing address
1200 1ST ST NE, WASHINGTON, DC 20002-3361
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09421
MD
225X00000X
Occupational Therapist
OT210002224
DC
Other
Enumeration date
03/30/2018
Last updated
08/28/2024
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