Jenica E Domanico, MA, OTR/L
NPI #1679829899 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1679829899
- Entity Type
- Individual
- Name
- Jenica E Domanico, MA, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist - Pediatrics
- Credential
- MA, OTR/L
- Enumeration Date
- Jul 25, 2012
- Last Updated
- Dec 13, 2018
Practice Location
- Address
- 5842 HOBE LN
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-6477
- Phone
- (651) 383-1197
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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