Individual
DR. DOMINICA SOURIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 US-206, GLADSTONE, NJ 07934
(212) 733-2323
Mailing address
125 MOUNTAIN AVE, GILLETTE, NJ 07933-1608
(908) 938-7898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01776900
NJ
Other
Enumeration date
02/23/2018
Last updated
07/17/2023
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