Individual
THOMAS ALAN DOMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, SCS, CSCS
Contact information
Practice address
1101 OHIO DR STE 110, PLANO, TX 75093-5331
(972) 985-2622
Mailing address
3531 DELFORD DR, FRISCO, TX 75034-1290
(214) 387-0552
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
1108686
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T1156
BCBS
—
Enumeration date
09/01/2006
Last updated
07/08/2007
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