Doctor Name: | JOSE A DOMINGUEZ |
NPI Number: | 1861583312 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT007707L |
Business Practice Address: | 6375 Mercury Drive Suite 100 Mechanicsburg, PA - 17050 |
Business Phone Number: | 7175913000 |
Business Fax Number: | 7175913003 |
Mailing Address: | 6375 Mercury Drive, Suite 100 MECHANICSBURG |
State: | PA |
Postal Code: | 17050 |
Phone Number: | 7175913000 |
Fax Number: | 7175913003 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 09/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT007707L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |