Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1023319266 |
---|---|
Provider Name | Pamela Dombrowski |
First Address | Raleigh, NC 27603-2776 |
Second Address | Raleigh, NC 27603-2776 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2010 |
Last Update Date | 23/10/2014 |