Individual
MISS VINCENZA DOMIJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT,OTR/L
Contact information
Practice address
915 RIVER RD, MIDDLETOWN, CT 06457-3921
(860) 704-4000
Mailing address
915 RIVER RD, MIDDLETOWN, CT 06457-3921
(860) 704-4000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003946
CT
Other
Enumeration date
07/15/2009
Last updated
08/21/2019
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