Individual
ADRIANA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
79 UNION BLVD, TOTOWA, NJ 07512-2739
(973) 956-7807
(973) 956-7808
Mailing address
79 UNION BLVD, TOTOWA, NJ 07512-2739
(973) 956-7807
(973) 956-7808
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00327300
NJ
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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