Individual
MRS. HEATHER DOMINGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
300 ROUTE 18 STE 39, EAST BRUNSWICK, NJ 08816-1912
(732) 254-3971
(732) 254-5291
Mailing address
300 ROUTE 18 STE 39, EAST BRUNSWICK, NJ 08816-1912
(732) 254-3971
(732) 254-5291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01401800
NJ
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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