Individual provider · Type 1 NPI
Dominique Martin-Mitchell, OTR/L
Rehabilitation Clinic/Center · Spanaway, WA
NPI number
1346430006
Active
Practice location
17415 17th Ave E
Spanaway, WA 98387-5522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Clinic/Center Primary | 261QR0400X | 00003270 (WA) |
Rehabilitation Clinic/Center: Definition to come...
About NPI 1346430006
Dominique Martin-Mitchell, OTR/L's National Provider Identifier is 1346430006, issued on Jul 30, 2007. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Spanaway, WA. The record was last updated on Jul 30, 2007.