Michelle Lynn Domack, OTA/L
NPI #1467087361 in Branford, Connecticut
Provider Information
- NPI Number
- 1467087361
- Entity Type
- Individual
- Name
- Michelle Lynn Domack, OTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- OTA/L
- Enumeration Date
- Mar 11, 2020
- Last Updated
- Mar 11, 2020
Practice Location
- Address
- 189 ALPS RD
- City
- Branford
- State
- Connecticut
- ZIP Code
- 06405-4771
- Phone
- (203) 315-2615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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