| Jenica E Domanico, MA, OTR/L | |
|
5842 Hobe Ln, White Bear Lake, MN 55110-6477 | |
| (651) 383-1197 | |
| Not Available |
| Full Name | Jenica E Domanico |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 5842 Hobe Ln, White Bear Lake, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679829899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 104260 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jenica E Domanico, MA, OTR/L 5842 Hobe Ln, White Bear Lake, MN 55110-6477 Ph: (651) 383-1197 | Jenica E Domanico, MA, OTR/L 5842 Hobe Ln, White Bear Lake, MN 55110-6477 Ph: (651) 383-1197 |
Elizabeth Juanita Duffy, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4707 Highway 61 N, # 150, White Bear Lake, MN 55110 Phone: 608-322-2722 | |
Mia Rose Massaro, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2555 County Road E E, White Bear Lake, MN 55110 Phone: 651-683-2953 | |
Ann Eckstrom, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-383-1197 | |
Jennifer Marie Frison, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2555 County Road E E, White Bear Lake, MN 55110 Phone: 651-683-2953 | |
Wendy Noel Rufledt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-383-1197 Fax: 651-383-1198 | |
Evolvewell Occupational Therapy Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-558-1054 |