Dominique Aida Grossman
Occupational Therapist - Pediatrics
4495 Hale Pkwy
Denver
, Colorado 80220-6210
Dominique Aida Grossman
Occupational Therapist - Pediatrics
4495 Hale Pkwy
Denver
, Colorado 80220-6210
(855) 715-3504
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Dominique Aida Grossman
- 4495 Hale Pkwy
- Denver, CO
- Zip : 80220-6210
- Fax : (855) 715-3504
- Phone : (844) 757-7450
Second Address
- Dominique Aida Grossman
- 4495 Hale Pkwy
- Denver, CO
- Zip : 80220-6210
- Fax : (855) 715-3504
- Phone : (844) 757-7450
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics |
National Provider Identifier
| NPI | 1033772942 |
|---|---|
| Provider Name | Dominique Aida Grossman |
| First Address | Denver, CO 80220-6210 |
| Second Address | Denver, CO 80220-6210 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2019 |
| Last Update Date | 16/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.