| Doctor Name: | MR. MARVIN DOMINGUEZ SANGRIA |
| NPI Number: | 1134286602 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPT |
| License Number: | 1786 |
| Business Practice Address: | 5400 S Rainbow Blvd Las Vegas, NV - 89118 |
| Business Phone Number: | 7028533413 |
| Business Fax Number: | |
| Mailing Address: | 6255 W Arby Ave, # 288 LAS VEGAS |
| State: | NV |
| Postal Code: | 891184656 |
| Phone Number: | 7024804215 |
| Fax Number: | 7028986470 |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1786 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |