LEA CAMILLE DOMINGO KEENANTASKER

DALLAS, OR
NPI1245061019
Former NameLEA CAMILLE MARTIREZ DOMINGO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  65066)
Enumeration Date2024-08-12
Last Update Date2024-08-12
Business Address
Dr. LEA CAMILLE DOMINGO KEENANTASKER DPT
377 NW JASPER ST
DALLAS, OR 97338-1279
Phone number: 503-623-5581
Mailing Address
Dr. LEA CAMILLE DOMINGO KEENANTASKER DPT
377 NW JASPER ST
DALLAS, OR 97338-1279
Phone number: