Individual
ANTOINETTE DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5500 CAMPANILE DR, ENS, SAN DIEGO, CA 92182-7251
(619) 594-3289
Mailing address
5500 CAMPANILE DR, ENS, SAN DIEGO, CA 92182-7251
(619) 594-3289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011514
MI
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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