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1407855513
MARTIN HENNINGER DOMINGUEZ
MIDLOTHIAN, VA
NPI
1407855513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: VA 2305004476)
Enumeration Date
2005-07-20
Last Update Date
2022-08-02
Business Address
Mr. MARTIN HENNINGER DOMINGUEZ DPT
2820 WATERFORD LAKE DR STE 103
MIDLOTHIAN, VA 23112-3994
Phone number: 804-249-8277
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Mailing Address
Mr. MARTIN HENNINGER DOMINGUEZ DPT
3200 LADY MARIAN LN
MIDLOTHIAN, VA 23113-1178
Phone number: 804-677-2551
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