Individual
MRS. MARIA D. DOMINGUEZ
Active
Individual
MRS. MARIA D. DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01550400
NJ
225200000X
Physical Therapy Assistant
40QB00233400
NJ
Other
Enumeration date
04/30/2012
Last updated
03/27/2024
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