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1437158102
MARYANN THERESA DOMINGUEZ
MIDLOTHIAN, VA
NPI
1437158102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305004526)
Enumeration Date
2005-07-15
Last Update Date
2022-08-02
Business Address
Ms. MARYANN THERESA DOMINGUEZ PT
2820 WATERFORD LAKE DR STE 103
MIDLOTHIAN, VA 23112-3994
Phone number: 804-249-8277
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Mailing Address
Ms. MARYANN THERESA DOMINGUEZ PT
3200 LADY MARIAN LN
MIDLOTHIAN, VA 23113-1178
Phone number: 804-677-6786
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