| Organization Name: | DOMINION THERAPY SERVICES, LLC |
| NPI Number: | 1174776876 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAWN E HAMM (OWNER) |
| Mailing Address: | 122 Crabapple Ln Ligonier |
| State: | PA US |
| Postal Code: | 156583602 |
| Phone Number: | 7249891191 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2008 |
| NPI Last Update Date: | 10/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | OC005012L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |