Individual
DOMINIQUE DANIELLE CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
416 37TH ST, PARKERSBURG, WV 26101-1009
(304) 428-1703
(304) 422-1176
Mailing address
415 36TH ST STE 100, PARKERSBURG, WV 26101-1005
(304) 917-3660
(304) 917-3674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004092
WV
225100000X
Physical Therapist
PT017915
OH
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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