Melissa Ann Domingo
Occupational Therapist - Gerontology
9150 Allen Rd
Allen Park
, Michigan 48101-1436
Melissa Ann Domingo
Occupational Therapist - Gerontology
9150 Allen Rd
Allen Park
, Michigan 48101-1436
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Melissa Ann Domingo
- 9150 Allen Rd
- Allen Park, MI
- Zip : 48101-1436
- Phone :
Second Address
- Melissa Ann Domingo
- 9150 Allen Rd
- Allen Park, MI
- Zip : 48101-1436
- Phone : (313) 386-2150
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 5201007932 | MI |
National Provider Identifier
| NPI | 1578034153 |
|---|---|
| Provider Name | Melissa Ann Domingo |
| First Address | Allen Park, MI 48101-1436 |
| Second Address | Allen Park, MI 48101-1436 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/12/2018 |
| Last Update Date | 08/12/2018 |
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.