Doctor Name: | MS. CARRI M DOMINICK |
NPI Number: | 1225106321 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | |
Business Practice Address: | 59-794 Kamehameha Hwy #a1 Haleiwa, HI - 967129424 |
Business Phone Number: | 8082245860 |
Business Fax Number: | 8082561719 |
Mailing Address: | 59-794 Kamehameha Hwy, #a1 HALEIWA |
State: | HI |
Postal Code: | 967129424 |
Phone Number: | 8082245860 |
Fax Number: | 8083561719 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 09/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |