Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANDRE DIVINE DOMINGOS
Active Sole ProprietorMR. ANDRE DIVINE DOMINGOS is a Occupational Therapy Assistant healthcare provider located in OLNEY, Maryland. NPI 1356798128 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · OLNEY, MD
Registration Details
- NPI Number
- 1356798128
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2016 (10.195330003402 yrs)
- Last Updated
- May 20, 2016
- License
-
A02204 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17420 GALLAGHER WAYOLNEY, MD, 208322059Browse MD providers · Browse ZIP 20832
- Phone
- 2403771700
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in OLNEY, MD
| Name | Credential | NPI |
|---|---|---|
| KAREN GALLAGHER | O.T.R./L/,C.H.T. | 1417045824 |
| MR. WILLIAM PAUL VAUGHN | COTA | 1124211685 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.