Individual provider · Type 1 NPI

Andre Divine Domingos

Occupational Therapy Assistant · Olney, MD

NPI number 1356798128 Active

Practice location

17420 Gallagher Way
Olney, MD 20832-2059

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XA02204 (MD)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1356798128

Andre Divine Domingos's National Provider Identifier is 1356798128, issued on May 20, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Olney, MD. The record was last updated on May 20, 2016.