Coyle John Domina, OTR/L

NPI #1205070224 in Socorro, New Mexico

Provider Information

NPI Number: 1205070224
Entity Type: Individual
Name: Coyle John Domina, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Apr 21, 2009
Last Updated: Apr 21, 2009

Practice Location

Address: 700 FRANKLIN ST
City: Socorro
State: New Mexico
ZIP Code: 87801-4666
Phone: (505) 306-4475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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