Organization
DOMINGA'S THERAPY SERVICES PTR. PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DALE PALMER M.O.T. (VICE PRESIDENT)
(954) 581-5492
Entity
Organization
Contact information
Practice address
1950 S.W. 37 AVE., FORT LAUDERDALE, FL 33312
(954) 581-5492
(954) 693-9861
Mailing address
1950 S.W. 37 AVE., FORT LAUDERDALE, FL 33324
(954) 581-5492
(954) 693-9861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT8428
FL
Other
Enumeration date
08/01/2006
Last updated
10/19/2011
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