Michael L Domingo, PT

NPI #1952658700 in Kent, Washington

Provider Information

NPI Number: 1952658700
Entity Type: Individual
Name: Michael L Domingo, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 11, 2012
Last Updated: Aug 11, 2012

Practice Location

Address: 25012 104TH AVE SE
Address 2: SUITE C
City: Kent
State: Washington
ZIP Code: 98030-2821
Phone: (253) 856-3477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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