Individual
ETHEL LORAINE DOMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1069 DELAWARE AVE, SUITE 102, MARION, OH 43302-1400
(740) 382-1734
(740) 387-6918
Mailing address
1069 DELAWARE AVE, SUITE 102, MARION, OH 43302-1400
(740) 382-1734
(740) 387-6918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002605
OH
Other
Enumeration date
03/20/2006
Last updated
01/07/2010
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