Individual provider · Type 1 NPI

Jeremy C. Domina, OTR

Occupational Therapist · Hanover, NH

NPI number 1720255201 Active

Practice location

49 Lyme Rd
Hanover, NH 03755-1205

Mailing address

227 Old Route 15
Cambridge, VT 05444-9772

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X1702 (NH)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1720255201

Jeremy C. Domina, OTR's National Provider Identifier is 1720255201, issued on May 13, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Hanover, NH. The record was last updated on May 13, 2008.