Individual
MR. DOMINADOR FC HERNO PAPA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
407 CLIFFANNE CT, DAYTON, OH 45415-1357
(937) 278-0723
Mailing address
407 CLIFFANNE CT, DAYTON, OH 45415-1357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011732
OH
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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