Individual
DOMINIQUE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2662 HONEY CREEK RD SW, CONYERS, GA 30094-3457
(786) 385-5604
Mailing address
2662 HONEY CREEK RD SW, CONYERS, GA 30094-3457
(786) 385-5604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
42513
CA
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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