DOMINIQUE DIVECE, OTA-2347

Occupational Therapy Assistant · EAGLE, ID

Individual Active NPI 1568043263

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Occupational Therapy Assistant224Z00000XOTA-2347ID

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.