Individual
DOMINIC TABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
857 WAYSIDE DR, PLAINFIELD, IN 46168-2331
(765) 277-0609
Mailing address
3051 ARROWROOT WAY, INDIANAPOLIS, IN 46239-7973
(765) 277-0609
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/23/2025
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