Individual
DOMINIQUE MADELEINE KOHLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4134 GULF OF MEXICO DR, UNIT 209, LONGBOAT KEY, FL 34228-2642
(941) 383-0414
(941) 383-0120
Mailing address
PO BOX 1156, ELLENTON, FL 34222-1156
(941) 729-0003
(941) 729-0004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 7196
FL
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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