Individual provider · Type 1 NPI

Michelle Lynn Domack, OTA/L

Occupational Therapy Assistant · Branford, CT

NPI number 1467087361 Active

Practice location

189 Alps Rd
Branford, CT 06405-4771

Call (203) 315-2615 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X001534 (CT)

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 1467087361

Michelle Lynn Domack, OTA/L's National Provider Identifier is 1467087361, issued on Mar 11, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Branford, CT. The record was last updated on Mar 11, 2020.