Individual
MR. JAN DOMMERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
7830 OLD GEORGETOWN RD, SUITE C-15, BETHESDA, MD 20814-2432
(301) 656-5613
(301) 656-6586
Mailing address
7830 OLD GEORGETOWN RD, SUITE C-15, BETHESDA, MD 20814-2432
(301) 656-5613
(301) 656-6586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16428
MD
Other
Enumeration date
02/21/2007
Last updated
04/11/2008
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