Individual
MS. INOCENCIA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 324-5042
(732) 324-3121
Mailing address
835 BORDENTOWN AVENUE, SOUTH AMBOY, NJ 08879-1416
(848) 203-9487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01109000
NJ
Other
Enumeration date
10/27/2009
Last updated
09/16/2011
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