Byrd, Dominique Joseph

Byrd, Dominique Joseph is an sole proprietor health care provider with primary practice located at 1062 Springwater Rd , Kokomo IN 46902-4899. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Byrd, Dominique Joseph can be contacted via phone (765) 776-6309.

Contact Information

Primary practice address
1062 Springwater Rd Kokomo IN 46902-4899
Fax:
Website:

Health care specialties

Profile Details

NPI number 1902086176
LBN Legal business name Byrd, Dominique Joseph
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2007
Last updated Nov 5th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902086176 NPPES
Indiana Other 31002239A OCCUPATIONAL THERAPY

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