Scutella, Dominique

Scutella, Dominique is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , Jbsa Ft Sam Houston TX 78234-4504. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Scutella, Dominique can be contacted via phone (210) 916-5732.

Contact Information

Primary practice address
3551 Roger Brooke Dr Jbsa Ft Sam Houston TX 78234-4504
Phone: (210) 916-5732
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 26199 Maryland

Profile Details

NPI number 1891244745
LBN Legal business name Scutella, Dominique
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2016
Last updated Dec 8th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891244745 NPPES
Other 1395490555 DOD ID#

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