NPI 1033565569

Andrea Marie Domenici

Practitioner Developmental Therapist San Diego, CA

Practice location

Address: 501 W Broadway Suite 800, San Diego, CA 92101-3536
Phone: (888) 880-9270
Mailing address: 500 Fairway Dr Suite 102, Deerfield Beach, FL 33441-1814

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in California →

Registry record

NPI: 1033565569
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2016
Record last updated: 13 May 2016

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.