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1629426762
BETHANY DOMOTO
MADISON, WI
NPI
1629426762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 5855-26)
Enumeration Date
2016-05-31
Last Update Date
2019-11-13
Business Address
BETHANY DOMOTO OTR/L
210 DEMPSEY RD
MADISON, WI 53714
Phone number: 815-355-9999
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Mailing Address
BETHANY DOMOTO OTR/L
210 DEMPSEY RD
MADISON, WI 53714-3006
Phone number: 815-355-9999
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