Brittany Domin, OTR/L
Occupational Therapist in Evanston, IL. Individual provider (NPI-1).
NPI number1689198822
StatusActive
Last updated in NPPESJul 31, 2017
Details
- NPI
- 1689198822
- Entity type
- Individual (NPI-1)
- Name
- Brittany Domin
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2017
- Last updated
- Jul 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.012023 | IL | Yes |
Practice location
3200 Grant StEvanston, IL 60201-1903
Phone 734-216-4680
Mailing address
2504 N Willetts Ct Unit 3sChicago, IL 60647-7704
Phone 586-883-4691
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All 48 Occupational Therapist providers in Evanston · All 4,899 providers in Evanston
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