Dominic Douglas Tartini, MS, IP

NPI #1093496390 in Caldwell, Idaho

Provider Information

NPI Number: 1093496390
Entity Type: Individual
Name: Dominic Douglas Tartini, MS, IP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: MS, IP
Enumeration Date: Jul 28, 2023
Last Updated: Jul 28, 2023

Practice Location

Address: 5315 CRIMSON AVE
City: Caldwell
State: Idaho
ZIP Code: 83607-1731
Phone: (208) 813-4986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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