Individual
DOMINIQUE WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7410 W BOYNTON BEACH BLVD STE A11, BOYNTON BEACH, FL 33437-6157
(561) 731-0163
Mailing address
8165 PALM GATE DR, BOYNTON BEACH, FL 33436-1561
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20012
FL
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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