ENRIQUE DOMINGUEZ

SAN ANTONIO, TX
NPI1427539907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2000766)
Enumeration Date2018-08-23
Last Update Date2018-08-23
Business Address
ENRIQUE DOMINGUEZ
515 W ASHBY PL
SAN ANTONIO, TX 78212-3802
Phone number: 352-382-1141
Mailing Address
ENRIQUE DOMINGUEZ
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141