Kathie Domenico

NPI # 

Practice Address:

314 E Cardinal St

Springfield, MO, 65810-1734

Practice Phone:

417-234-7235

Practice Fax:

417-823-9937

License Number:

2005018686

License State:

MO

Taxonomy Grouping:

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Classification:

Occupational Therapy Assistant

Taxonomy Code:

224Z00000X