Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINGO GRULLON JR., DPT
ActiveDOMINGO GRULLON JR., DPT is a Physical Therapy Assistant healthcare provider located in CROWN POINT, Indiana. NPI 1720761570 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CROWN POINT, IN
Registration Details
- NPI Number
- 1720761570
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2023 (3.0095966836739 yrs)
- Last Updated
- Oct 17, 2024
- Licenses
-
40QA02192500 (NY)CP035073T (VA)
Practice Information
- Address
-
11275 DELAWARE PKWY STE BCROWN POINT, IN, 463077812Browse IN providers · Browse ZIP 46307
- Phone
- 2196638766
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in CROWN POINT, IN
| Name | Credential | NPI |
|---|---|---|
| MR. NICHOLAS FENN | PT | 1881690659 |
| MR. ROMMEL PANALIGAN AREVALO | P.T. | 1467437517 |
| MRS. JENNIFER LEIGH BRADSKY | PT | 1407813504 |
| MRS. SARAH MARIE KONOPASEK | PT | 1407814437 |
| SHARILYNN R DEBOER | PT | 1619914264 |
| PETER STAFFORD | P.T. | 1962436675 |
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.