Megan Rose Dominguez, OTR/L
Occupational Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1629613435
StatusActive
Last updated in NPPESOct 8, 2024
Details
- NPI
- 1629613435
- Entity type
- Individual (NPI-1)
- Name
- Megan Rose Dominguez
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 15, 2019
- Certification date
- Oct 8, 2024
- Last updated
- Oct 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 18009 | CA | Yes |
Practice location
3025 Pyrites StLos Angeles, CA 90032-2627
Phone 310-569-8183
Mailing address
5314 N Figueroa St Unit BLos Angeles, CA 90042-4004
Phone 323-736-1893
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