Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coyle John Domina, OTR/L

Individual provider Occupational Therapist · NPI 1205070224

Coyle John Domina, OTR/L is an Occupational Therapist in Socorro, New Mexico. Licensed in New Mexico. Registered with an NPI since 2009.

Licensed in
NM
In the registry since
2009
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

700 Franklin St
Socorro, NM 87801-4666
Phone: (505) 306-4475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2566 (NM)

Record details

NPI number1205070224
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 21, 2009
Last updated in NPPESApril 21, 2009

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