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Organization
DOMINGA'S THERAPY SERVICES PTR PA
Active
Organization
DOMINGA'S THERAPY SERVICES PTR PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DALE PALMER MOT (VICE PRESIDENT)
(954) 581-5492
Entity
Organization
Contact information
Practice address
1950 SW 37TH AVE, FORT LAUDERDALE, FL 33312-4220
(954) 581-5492
Mailing address
1950 SW 37TH AVE, FORT LAUDERDALE, FL 33312-4220
(954) 581-5492
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
P01000084214
FL
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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