Individual
FERNANDO DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2560 E FORT LOWELL RD, TUCSON, AZ 85716-1514
(520) 323-9086
(520) 323-6364
Mailing address
408 HIGUERA ST STE 200, SAN LUIS OBISPO, CA 93401-6135
(805) 788-0805
(805) 788-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
29574
MD
225100000X
Physical Therapist
Primary
LPT033634
AZ
Other
Enumeration date
05/09/2023
Last updated
06/20/2024
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