Individual
DOMINIQUE LEARY
Active
Individual
DOMINIQUE LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15045
TN
225100000X
Physical Therapist
25119
MD
2251X0800X
Orthopedic Physical Therapist
25119
MD
Other
Enumeration date
08/19/2014
Last updated
08/04/2023
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