Byrd, Dominique Joseph
Byrd, Dominique Joseph is an sole proprietor health care provider with primary practice located at 1062 Springwater Rd , Kokomo IN 46902-4899. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Byrd, Dominique Joseph can be contacted via phone (765) 776-6309.Contact Information
Primary practice address
1062 Springwater Rd
Kokomo IN 46902-4899
Phone: (765) 776-6309
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 31002239A | Indiana |
Profile Details
| NPI number | 1902086176 |
|---|---|
| LBN Legal business name | Byrd, Dominique Joseph |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2007 |
| Last updated | Nov 5th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902086176 | NPPES |
| Indiana | Other | 31002239A | OCCUPATIONAL THERAPY |
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