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

TaxonomyCodeLicense
Rehabilitation Clinic/Center Primary 261QR0400X00003270 (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.