Michelle L Domack, OTA/L
Occupational Therapy Assistant in Branford, Connecticut
1467087361- Practice location
- 189 Alps RD, Branford, CT 06405-4771
- Phone
- 203-315-2615
- Fax
- —
- Last updated
- March 11, 2020
Michelle Lynn Domack is an Occupational Therapy Assistant based in Branford, CT. Michelle Lynn Domack practices in Branford, CT and has the professional credentials of OTA/L. The NPI Number for Michelle Lynn Domack is 1467087361 and holds a License No. 001534 (CT). The current practice location address for Michelle Lynn Domack is 189 Alps RD, Branford, CT 06405-4771 and can be reached out via phone at 203-315-2615.
Provider Profile Details
- NPI Number
- 1467087361
- Provider Name
- Michelle Lynn Domack
- Credential
- OTA/L
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 189 Alps RD, Branford, CT 06405-4771
- Phone Number
- 203-315-2615
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 11, 2020
- Last Update Date
- March 11, 2020
- Certification Date
- March 11, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 189 Alps RD
Branford, CT 06405-4771 - City
- Branford
- State
- Connecticut
- Zip
- 06405-4771
- Phone Number
- 203-315-2615
Provider Business Mailing Address Details
- Address
- 189 Alps RD
Branford, CT 06405-4771 - City
- Branford
- State
- CT
- Zip
- 06405-4771
License Information
- License Number
- 001534
- License State
- CT
- Taxonomy
- Occupational Therapy Assistant · 224Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapy Assistants near Branford, CT
View all Occupational Therapy Assistants in Branford →- Alena Fitzgerald, COTA/LOccupational Therapy Assistant · NPI 1821623067
- Amy L Jaworski, COTA/LOccupational Therapy Assistant · NPI 1205462926
- Carlene Dinitto, COTAOccupational Therapy Assistant · NPI 1609694033
- Jacqueline AngeloneOccupational Therapy Assistant · NPI 1386028892
- Jill Bonapace, COTAOccupational Therapy Assistant · NPI 1710037312
- Jillian BrooksOccupational Therapy Assistant · NPI 1659906550
Frequently Asked Questions
What is the NPI number of Michelle L Domack, OTA/L?
The NPI number of Michelle L Domack, OTA/L is 1467087361. It was assigned on March 11, 2020 and is currently active in the NPPES registry.
What is the specialty of Michelle L Domack, OTA/L?
Michelle L Domack, OTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in CT under license number 001534.
Where does Michelle L Domack, OTA/L practice?
The practice location is 189 Alps RD, Branford, CT 06405-4771. The office can be reached at 203-315-2615 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467087361 directly on the NPPES registry website.