Individual
MS. CARRI M DOMINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5175 E PACIFIC COAST HWY STE 403, LONG BEACH, CA 90804-3313
(562) 285-3449
(424) 210-5112
Mailing address
5175 E PACIFIC COAST HWY STE 403, LONG BEACH, CA 90804-3313
(562) 285-3449
(424) 210-5112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT3108
LICENSE
HI
Enumeration date
11/30/2006
Last updated
04/01/2022
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