TIMOTHY ROBERT DOMINICK

SHERWOOD, OR
NPI1356342661
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  5149)
Additional Taxonomies225100000X Physical Therapist
(Licence: CA  26238)
2251X0800X Physical Therapist, Orthopedic
(Licence: OR  5149)
Enumeration Date2005-08-09
Last Update Date2024-08-06
Business Address
TIMOTHY ROBERT DOMINICK D.P.T.
16770 SW EDY RD STE 310
SHERWOOD, OR 97140-9679
Phone number: 503-216-9731
Mailing Address
TIMOTHY ROBERT DOMINICK D.P.T.
16310 SW PALERMO LN
TIGARD, OR 97223-0692
Phone number: 503-577-0942