Individual
DIANA MARIE DOMAINGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1181 BLACKWOOD AVE, OCOEE, FL 34761-4518
(407) 292-0073
(407) 292-9666
Mailing address
5303 BLACKBURN CT, OVIEDO, FL 32765-6171
(904) 254-0452
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28445
FL
Other
Enumeration date
10/03/2013
Last updated
02/21/2018
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