Individual provider · Type 1 NPI

Kathie Domenico

Occupational Therapy Assistant · Springfield, MO

NPI number 1922327709 Active

Practice location

314 E Cardinal St
Springfield, MO 65810-1734

Call (417) 234-7235 Map

Fax (417) 823-9937

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2005018686 (MO)

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 1922327709

Kathie Domenico's National Provider Identifier is 1922327709, issued on May 19, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Springfield, MO. The record was last updated on May 19, 2010.