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Individual

MR. DOMINIC TRAPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPTA

Contact information

Practice address
1000 FIANNA WAY, FORT SMITH, AZ 72919
(479) 201-2000
Mailing address
1000 FIANNA WAY, FORT SMITH, AR 72919-9008
(479) 201-2000

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
14-02598
KS

Other

Enumeration date
07/21/2016
Last updated
07/21/2016
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