MR. Andre Divine Domingos

NPI #1356798128 in Olney, Maryland

Provider Information

NPI Number
1356798128
Entity Type
Individual
Name
MR. Andre Divine Domingos
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
May 20, 2016
Last Updated
May 20, 2016

Practice Location

Address
17420 GALLAGHER WAY
City
Olney
ZIP Code
20832-2059
Phone
(240) 377-1700

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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