Brett Michael Domangue

NPI #1568698181 in Hammond, Louisiana

Provider Information

NPI Number: 1568698181
Entity Type: Individual
Name: Brett Michael Domangue
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 10, 2009
Last Updated: Jan 29, 2013

Practice Location

Address: 620 N MORRISON BLVD
Address 2: SUITE G
City: Hammond
State: Louisiana
ZIP Code: 70401-2312
Phone: (985) 543-4113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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