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Individual

DOMINIQUE GILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
114 WINDCREST CIR, HOT SPRINGS, AR 71913-6080
(573) 429-9603
Mailing address
114 WINDCREST CIR, HOT SPRINGS, AR 71913-6080
(573) 429-9603

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2766
AR

Other

Enumeration date
06/15/2018
Last updated
06/15/2018
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