Individual
DOMINIQUE GUERCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8142
Mailing address
8402 AVENUE K, BROOKLYN, NY 11236-4236
(718) 209-9713
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001639-1
NY
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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