Individual
JESSICA ADAMS-DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2600 NW 87TH AVE, STE 22, DORAL, FL 33172-1621
(305) 592-5555
(305) 592-6067
Mailing address
2600 NW 87TH AVE, STE 22, DORAL, FL 33172-1621
(305) 592-5555
(305) 592-6067
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT25131
FL
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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