Individual
MR. DOMINIC JOSEPH INTRAVAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
31964 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3730
(727) 786-2503
(727) 786-7949
Mailing address
5796 147TH AVE N, CLEARWATER, FL 33760-2620
(727) 724-4451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028158
NY
225100000X
Physical Therapist
27337
FL
Other
Enumeration date
04/07/2007
Last updated
02/07/2013
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