Individual
DOMINIQUE MARIE THOMAS-MCCLURLIKN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9101 FRANKLIN SQUARE DR STE 205, ROSEDALE, MD 21237-3975
(443) 777-6766
Mailing address
9101 FRANKLIN SQUARE DR STE 205, ROSEDALE, MD 21237-3975
(443) 777-6766
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6051
MD
225200000X
Physical Therapy Assistant
A8093
NC
225200000X
Physical Therapy Assistant
TEI006415
PA
Other
Enumeration date
05/18/2023
Last updated
11/14/2025
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