Kristen Dominguez
Occupational Therapy Assistant
719 Severn Ave
Metairie
, Louisiana 70001-5150
Kristen Dominguez
Occupational Therapy Assistant
719 Severn Ave
Metairie
, Louisiana 70001-5150
(504) 723-6687
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Kristen Dominguez
- 420 32nd St
- New Orleans, LA
- Zip : 70124-1404
- Phone : (504) 723-6687
Second Address
- Kristen Dominguez
- 719 Severn Ave
- Metairie, LA
- Zip : 70001-5150
- Fax : (504) 835-2821
- Phone : (504) 430-9218
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA.200502 | LA |
National Provider Identifier
| NPI | 1003354143 |
|---|---|
| Provider Name | Kristen Dominguez |
| First Address | New Orleans, LA 70124-1404 |
| Second Address | Metairie, LA 70001-5150 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2017 |
| Last Update Date | 09/02/2017 |
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.