Individual
MR. ANDREW IAN DOMBEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
20925 PROFESSIONAL PLZ STE 110, ASHBURN, VA 20147-3403
(703) 723-6758
(703) 723-6759
Mailing address
20925 PROFESSIONAL PLZ STE 110, ASHBURN, VA 20147-3403
(703) 723-6758
(703) 723-6759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204055
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030606449
TAX IDENTIFICATION
VA
Enumeration date
04/19/2006
Last updated
03/24/2020
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