DAVID J DOMENICO

NORTH SMITHFIELD, RI
NPI1336899582
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: RI  PTA01238)
Enumeration Date2022-03-28
Last Update Date2022-03-28
Business Address
DAVID J DOMENICO
261 MAIN ST
NORTH SMITHFIELD, RI 02896-7919
Phone number: 401-356-4777
Mailing Address
DAVID J DOMENICO
134 CAPORAL ST
CRANSTON, RI 02910-2618
Phone number:
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