Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANISSA DOMINGUEZ
Active Sole ProprietorANISSA DOMINGUEZ is a Developmental Therapist healthcare provider located in WYOMISSING, Pennsylvania. NPI 1013406149 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · WYOMISSING, PA
Registration Details
- NPI Number
- 1013406149
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2018 (8.2923960900399 yrs)
- Last Updated
- May 3, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 N PARK RD APT 1263WYOMISSING, PA, 196103058Browse PA providers · Browse ZIP 19610
- Phone
- 4106937747
- Primary Specialty
-
Developmental Therapist
222Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.