THERESA MAE DOMINICK

LEAVENWORTH, KS
NPI1841635109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KS  17-02236)
Enumeration Date2013-04-30
Last Update Date2013-04-30
Business Address
-- THERESA MAE DOMINICK OTR
1001 6TH AVE SUITE 240
LEAVENWORTH, KS 66048-3222
Phone number: 913-682-6103
Mailing Address
-- THERESA MAE DOMINICK OTR
710 DEERFIELD ST
LEAVENWORTH, KS 66048-5541
Phone number: 913-775-3101
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