Dominae Beaver, COTA/L

NPI #1770238586 in Paris, Texas

Provider Information

NPI Number
1770238586
Entity Type
Individual
Name
Dominae Beaver, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Feb 21, 2022
Last Updated
Feb 21, 2022

Practice Location

Address
2900 STILLHOUSE RD
City
Paris
State
Texas
ZIP Code
75462-2029
Phone
(903) 785-1601

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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