Dominick, Theresa Mae

Dominick, Theresa Mae is an sole proprietor health care provider with primary practice located at 1001 6Th Ave Suite 240, Leavenworth KS 66048-3222. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Dominick, Theresa Mae can be contacted via phone (913) 682-6103.

Contact Information

Primary practice address
1001 6Th Ave Suite 240 Leavenworth KS 66048-3222
Phone: (913) 682-6103
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 17-02236 Kansas

Profile Details

NPI number 1841635109
LBN Legal business name Dominick, Theresa Mae
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2013
Last updated Apr 30th, 2013 - about 12 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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