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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DOMINIQUE E WYNN, DPT

Active

DR. DOMINIQUE E WYNN, DPT is a Physical Therapy Assistant healthcare provider located in LONG BRANCH, New Jersey. NPI 1063608594 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LONG BRANCH, NJ

Registration Details

NPI Number
1063608594
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2007 (18.89057416142 yrs)
Last Updated
Oct 14, 2019
License
25685 (CA)

Practice Information

Address
375 MACARTHUR AVE
# 2
LONG BRANCH, NJ, 077407649
Browse NJ providers · Browse ZIP 07740
Phone
4158460395
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LONG BRANCH, NJ

Name Credential NPI
MRS. DANA N SCHWARTZ PT 1689754269
TERESA A RYAN PT 1467527630
DR. VERONICA GAIL JORDAN PT, DPT, MPT 1275732182
MR. JOSEPH H JAMIESON PT 1962775106
VERNA LANE PAZARAS P.T. 1497004154
MR. JOHN CARL BLOODGOOD PT 1376896449
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.