Individual
DOMINIQUE JORDAN RIVERA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1903 S CONGRESS AVE STE 100, BOYNTON BEACH, FL 33426-6553
(561) 432-0111
(561) 432-1075
Mailing address
5840 CORPORATE WAY STE 101, WEST PALM BEACH, FL 33407-2040
(561) 432-0111
(561) 432-1075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT42299
FL
Other
Enumeration date
09/23/2024
Last updated
10/18/2024
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