Individual
DR. NATHAN ANDREW DOMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2940 E BANNER GATEWAY DR STE 200-250, GILBERT, AZ 85234-2168
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
072900
IA
225100000X
Physical Therapist
Primary
LPT-30034
AZ
Other
Enumeration date
05/13/2016
Last updated
05/10/2022
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