Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENICA E DOMANICO, MA, OTR/L
ActiveJENICA E DOMANICO, MA, OTR/L is a Pediatric Occupational Therapist healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1679829899 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1679829899
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2012 (14.019068550274 yrs)
- Last Updated
- Dec 13, 2018
- License
-
104260 (MN)
Practice Information
- Address
-
5842 HOBE LNWHITE BEAR LAKE, MN, 551106477Browse MN providers · Browse ZIP 55110
- Phone
- 6513831197
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in WHITE BEAR LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| JENNIFER MARIE FRISON | OTR/L | 1578875142 |
| HANNAH ROSE STEGORA | — | 1437656113 |
| MIA ROSE MASSARO | — | 1518525906 |
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.