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Individual

IVA T DOMITROVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
720 E BROAD ST, COLUMBUS, OH 43215-3988
(614) 224-1090
Mailing address
720 E BROAD ST STE 102, COLUMBUS, OH 43215-3989

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT020470
OH

Other

Enumeration date
05/26/2023
Last updated
05/26/2023
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