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

Individual provider Occupational Therapist · NPI 1841635109

Theresa Mae Dominick, OTR is an Occupational Therapist in Leavenworth, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2013
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1001 6th Ave Ste 240
Leavenworth, KS 66048-3222
Phone: (913) 682-6103
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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 17-02236 (KS)

Record details

NPI number1841635109
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedApril 30, 2013
Last updated in NPPESApril 30, 2013

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