Domenico, Kathie

Domenico, Kathie is an individual health care provider with primary practice located at 314 E Cardinal St , Springfield MO 65810-1734. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Domenico, Kathie can be contacted via phone (417) 234-7235.

Contact Information

Primary practice address
314 E Cardinal St Springfield MO 65810-1734
Phone: (417) 234-7235
Fax: (417) 823-9937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 2005018686 Missouri

Profile Details

NPI number 1922327709
LBN Legal business name Domenico, Kathie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2010
Last updated May 19th, 2010 - about 15 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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