DOMINIQUE DIVECE

OTA-2347 specializing in occupational therapy assistant in Eagle, Idaho

NPI: 1568043263

Provider Type

1

Practice Locations

Mailing Location

449 S FITNESS PL

EAGLE, ID 83616

Practice Location

449 S FITNESS PL

EAGLE, ID 83616

📞 2089576301

Provider Information

Gender:F
Sole Proprietor:No
Enumeration Date:4/15/2021
Last Updated:4/15/2021

Credentials

Primary Credential:OTA-2347
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