Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVAN DOMENECH
ActiveIVAN DOMENECH is a Occupational Therapist healthcare provider located in SOUTHERN PINES, North Carolina. NPI 1386972867 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SOUTHERN PINES, NC
Registration Details
- NPI Number
- 1386972867
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 23, 2009 (16.692525446549 yrs)
- Last Updated
- Nov 23, 2009
- License
-
4278 (NC)
Practice Information
- Address
-
103 GOSSMAN RDSOUTHERN PINES, NC, 283872225Browse NC providers · Browse ZIP 28387
- Phone
- 9102461158
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in SOUTHERN PINES, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. PEGGY B MORA | PTA | 1063589497 |
| SUSAN COOK WALKER | PTA | 1881712065 |
| MARK A KEISEL | PTA | 1154442952 |
| CHRIS MESSINA | — | 1588868418 |
| GAIL LYNNE LAVOIE | — | 1760686448 |
| MARY MARBUT | — | 1427253640 |
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.