Individual
JASON WILLIAM DOMYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
510 ORCHID DR, MARTINS FERRY, OH 43935-2206
(724) 516-1649
Mailing address
510 ORCHID DR, MARTINS FERRY, OH 43935-2206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016499
PA
Other
Enumeration date
05/05/2008
Last updated
09/30/2013
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