Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARYANN THERESA DOMINGUEZ, PT
ActiveMS. MARYANN THERESA DOMINGUEZ, PT is a Physical Therapy Assistant healthcare provider located in MIDLOTHIAN, Virginia. NPI 1437158102 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MIDLOTHIAN, VA
Registration Details
- NPI Number
- 1437158102
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2005 (21.040878059514 yrs)
- Last Updated
- Aug 2, 2022
- License
-
2305004526 (VA)
Practice Information
- Address
-
2820 WATERFORD LAKE DR STE 103MIDLOTHIAN, VA, 231123994Browse VA providers · Browse ZIP 23112
- Phone
- 8042498277
- Fax
- 8042499690
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MIDLOTHIAN, VA
| Name | Credential | NPI |
|---|---|---|
| LORETTA FORMAN | P.T. | 1134125289 |
| DIANE CRANENDONK | PT, OCS | 1285631283 |
| LORI MAGNUSON | P.T. | 1275531253 |
| ERIC LAWRENCE JORDE | PT | 1154304780 |
| MR. TIMOTHY JAMES WITTENAUER | — | 1417933953 |
| LEE FESSLER GATEWOOD | MSHS | 1932186350 |
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.