Individual
MR. ROBERT DAVID DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT ASST
Contact information
Practice address
8655 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-4889
(800) 642-5031
(909) 989-7633
Mailing address
1725 STORRS PL, POMONA, CA 91766-4130
(909) 374-8897
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 2093
CA
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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