Individual
DOMINIC MICHAEL ENGOLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 GAUSE BLVD W, SLIDELL, LA 70460-2625
(985) 607-6363
Mailing address
114 GAUSE BLVD W, SLIDELL, LA 70460-2625
(985) 607-6363
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10900
LA
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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