Anissa Dominguez

NPI #1013406149 in Wyomissing, Pennsylvania

Provider Information

NPI Number: 1013406149
Entity Type: Individual
Name: Anissa Dominguez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: May 3, 2018
Last Updated: May 3, 2018

Practice Location

Address: 100 N PARK RD APT 1263
City: Wyomissing
State: Pennsylvania
ZIP Code: 19610-3058
Phone: (410) 693-7747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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