JENICA E DOMANICO

WHITE BEAR LAKE, MN
NPI1679829899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: MN  104260)
Enumeration Date2012-07-25
Last Update Date2018-12-13
Business Address
JENICA E DOMANICO MA, OTR/L
5842 HOBE LN
WHITE BEAR LAKE, MN 55110-6477
Phone number: 651-383-1197
Mailing Address
JENICA E DOMANICO MA, OTR/L
5842 HOBE LN
WHITE BEAR LAKE, MN 55110-6477
Phone number: 651-383-1197
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