Doctor Name: | THOMAS ALAN DOMINO |
NPI Number: | 1013019041 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, SCS, CSCS |
License Number: | 1108686 |
Business Practice Address: | 1101 Ohio Dr Ste 110 Plano, TX - 750935331 |
Business Phone Number: | 9729852622 |
Business Fax Number: | |
Mailing Address: | 3531 Delford Dr, FRISCO |
State: | TX |
Postal Code: | 750341290 |
Phone Number: | 2143870552 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | 1108686 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |