Individual
HEATHER L DOMINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
750 SE CARY PKWY, CARY, NC 27511-5682
(919) 651-3961
Mailing address
111 GRATIOT DR, MORRISVILLE, NC 27560-7713
(315) 406-3045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P11409
NC
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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