Individual
ANJALI PILLAY DOMINIACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
880 3RD AVE, CHULA VISTA, CA 91911-1305
(619) 205-4585
Mailing address
594 LOS ALTOS DR, CHULA VISTA, CA 91914-4132
(858) 924-2616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40987
CA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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