Dominguez, Justin Marshall

Dominguez, Justin Marshall is an individual health care provider with primary practice located at 4430 Missouri Ave , Fort Leonard Wood MO 65473-9098. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dominguez, Justin Marshall can be contacted via phone (573) 596-1707.

Contact Information

Primary practice address
4430 Missouri Ave Fort Leonard Wood MO 65473-9098
Phone: (573) 596-1707
Fax: (573) 596-0435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2014026922 Missouri

Profile Details

NPI number 1639569403
LBN Legal business name Dominguez, Justin Marshall
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2015
Last updated Jan 30th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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