Individual
DOMINIQUE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3392 MOTOR AVE, LOS ANGELES, CA 90034-3712
(310) 742-2230
Mailing address
401 S KENMORE AVE APT 211, LOS ANGELES, CA 90020-2419
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
CA
Other
Enumeration date
10/30/2021
Last updated
10/30/2021
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