Individual
DR. DOMINIQUE E WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
375 MACARTHUR AVE, # 2, LONG BRANCH, NJ 07740-7649
(415) 846-0395
Mailing address
375 MACARTHUR AVE, # 2, LONG BRANCH, NJ 07740-7649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25685
CA
Other
Enumeration date
09/19/2007
Last updated
10/14/2019
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