Mrs. Tamara Domka OTR
Occupational Therapist in Mansfield, OH(View on Map)
Full Name
Mrs. Tamara Domka OTR
NPI Number
1164628517
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/22/2007
Specialties
(Taxonomies)Name
Code
225X00000X
225XE1200X
225XH1300X
225XN1300X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Ohio
License Number
005027
Contact
Information
Purpose
Mailing
Location
Address
1901 SNYDER RD
105 N MAIN ST
City
Butler
Mansfield
State
OH
OH
Postal Code
44822-9691
44902-7669
Country
US
US
Telephone Number
(419) 631-8121
(419) 522-4969
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/10/2012
Provider Address
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