Individual
JASON MICHAEL DOMINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4235 N 90TH ST, OMAHA, NE 68134-4136
(402) 934-0045
(402) 934-6562
Mailing address
912 MEADOW RD, OMAHA, NE 68154-3433
(402) 885-0256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
03847
IA
225100000X
Physical Therapist
Primary
2400
NE
Other
Enumeration date
03/27/2006
Last updated
06/02/2022
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