Individual
MR. DOMINIC MATTHEW MARINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5210 HIGHLAND RD, WATERFORD, MI 48327-1970
(248) 674-8855
(248) 674-1425
Mailing address
645 SHREWSBURY DR, CLARKSTON, MI 48348-3675
(248) 393-2220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003398
MI
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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