DOMINIQUE DIVECE, OTA-2347
Occupational Therapy Assistant
Active
Individual
NPI: 1568043263
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes | OTA-2347 (ID) |
Frequently Asked Questions
NPI 1568043263 is the National Provider Identifier for DOMINIQUE DIVECE, OTA-2347, a Occupational Therapy Assistant provider located in Eagle, ID. This NPI was enumerated on April 15, 2021.
DOMINIQUE DIVECE, OTA-2347 practices at 449 S FITNESS PL, Eagle, ID 83616.
Quick Facts
- NPI
- 1568043263
- Type
- Individual
- Enumerated
- Apr 15, 2021
- Last Updated
- Apr 15, 2021
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