Most Relevant Information
Provider Data
| NPI Number: | 1003500448 |
| Provider Name: | MADELINE ROSE DOMMEL OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: | 6213 |
Most Important Dates
| Enumeration Date: | 06/07/2023 |
| Last Updated: | 06/07/2023 |
Provider Practice Location
469 W MAIN ST
BRANFORD
CT
064053400
Practice Location Phone/Fax
| Phone: | 2038286790 |
| Fax: |
Provider Mailing Location
211 POND HILL RD
WALLINGFORD
CT
064925203
Provider Mailing Phone/Fax
| Phone: | 2039033629 |
| Fax: |