Individual
DEBORAH A DOMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APTA
Contact information
Practice address
1707 S COLORADO ST STE A, GREENVILLE, MS 38703-7275
(662) 335-8332
(662) 335-8852
Mailing address
1707 S COLORADO ST STE A, GREENVILLE, MS 38703-7275
(662) 335-8332
(662) 335-8852
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6145
MS
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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