DOMINIKA J PORTILLO

BROOKLYN, NY
NPI1013476688
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NJ  46TR00863800)
Additional Taxonomies225X00000X Occupational Therapist
Enumeration Date2019-03-13
Last Update Date2019-10-30
Business Address
DOMINIKA J PORTILLO OTR
2579 OCEAN AVE FL 3
BROOKLYN, NY 11229-4552
Phone number: 732-766-8945
Mailing Address
DOMINIKA J PORTILLO OTR
11 LISA ROBYN CIR APT 101
LAKEWOOD, NJ 08701-7018
Phone number: 732-766-8945