IndividualActive
Andre Domingos
NPI 1356798128 · Occupational Therapy Assistant · Olney, MD
Provider details
- NPI number
- 1356798128
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- A02204 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
17420 Gallagher Way
Olney, MD 20832-2059
Phone: (240) 377-1700
Approximate (ZIP-level) locationGet directions
Mailing address
17420 Gallagher Way
Olney, MD 20832-2059
Registry dates
- Enumerated
- 2016-05-20
- Last updated
- 2016-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.