DOMINIC ALEXANDER SMITH

MILWAUKIE, OR
NPI1134782030
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  3739)
Enumeration Date2019-04-16
Last Update Date2019-04-16
Business Address
DOMINIC ALEXANDER SMITH COTA/L
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 888-795-1965
Mailing Address
DOMINIC ALEXANDER SMITH COTA/L
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number:
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