Search › Minnesota › 225XP0200X
Jenica Domanico, MA, OTR/L
NPI 1679829899 · on the registry since 2012
Practice
- Address
- 5842 Hobe Ln
White Bear Lake, MN 55110 - Phone
- (651) 383-1197
- Organisation at this address
- Evolvewell Occupational Therapy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225XP0200X
225XP0200X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota