Individual
MR. GREGORY ALLEN DOMYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 526-8000
(419) 526-8151
Mailing address
3580 RIDGESTONE DR, MANSFIELD, OH 44903-8427
(419) 610-8497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.010306
OH
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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