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Mrs. Dominique Martin-mitchell, OTR/L
Rehabilitation Clinic/Center in Spanaway, Washington
NPI 1346430006

Dominique Martin-mitchell is a Rehabilitation Clinic/Center based in Spanaway, WA and is specialized in Rehabilitation. Dominique Martin-mitchell practices in Spanaway, WA and has the professional credentials of OTR/L. The NPI Number for Dominique Martin-mitchell is 1346430006 and holds a License No. 00003270 (Washington).

The current practice location address for Dominique Martin-mitchell is 17415 17Th Ave E, Spanaway, WA and can be reached out via phone at 253-536-3274.

Location: 17415 17Th Ave E, Spanaway, WA, 98387-5522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346430006
Provider Name
Dominique Martin-mitchell
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
17415 17Th Ave E, Spanaway, WA, 98387-5522
Phone Number
253-536-3274
Fax Number
Provider Enumeration Date
07/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00003270 01 WA INDUSTRIAL REHAB
institution
Provider Business Practice Location Address Details
Address
17415 17Th Ave E
City
Spanaway
State
Washington
Zip
98387-5522
Phone Number
253-536-3274
Fax Number
person
Provider Business Mailing Address Details
Address
17415 17Th Ave E
City
Spanaway
State
Washington
Zip
98387-5522
Phone Number
253-536-3274
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
261QR0400X
License No.
00003270 (Washington)
Definition
Definition to come...
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