KATHIE DOMENICO

SPRINGFIELD, MO
NPI1922327709
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2005018686)
Enumeration Date2010-05-19
Last Update Date2010-05-19
Business Address
-- KATHIE DOMENICO
314 E CARDINAL ST
SPRINGFIELD, MO 65810-1734
Phone number: 417-234-7235
Mailing Address
-- KATHIE DOMENICO
314 E CARDINAL ST
SPRINGFIELD, MO 65810-1734
Phone number: 417-234-7235
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