NPI 1003354143
Kristen Dominguez, LCOTA
Practice location
- Address
- 719 Severn Ave, Metairie, LA 70001-5150
- Phone
- (504) 430-9218
- Fax
- (504) 835-2821
- Mailing address
- 420 32nd St, New Orleans, LA 70124-1404
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1003354143
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Feb 2017
- Record last updated
- 9 Feb 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.