Dominique Divece, OTA-2347
NPI #1568043263 in Eagle, Idaho
Provider Information
- NPI Number
- 1568043263
- Entity Type
- Individual
- Name
- Dominique Divece, OTA-2347
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- OTA-2347
- Enumeration Date
- Apr 15, 2021
- Last Updated
- Apr 15, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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