Individual
MRS. DOMINIKA HEYDUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 W SLIGH AVE, TAMPA, FL 33604-5902
(813) 375-3980
Mailing address
16607 KINGLETRIDGE AVE, LITHIA, FL 33547-3938
(813) 774-2031
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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