MICHELLE LYNN DOMACK

BRANFORD, CT
NPI1467087361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CT  001534)
Enumeration Date2020-03-11
Last Update Date2020-03-11
Business Address
MICHELLE LYNN DOMACK OTA/L
189 ALPS RD
BRANFORD, CT 06405-4771
Phone number: 203-315-2615
Mailing Address
MICHELLE LYNN DOMACK OTA/L
189 ALPS RD
BRANFORD, CT 06405-4771
Phone number:
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