DOMINIC MICHAEL ENGOLIA

SLIDELL, LA
NPI1528777026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  10900)
Enumeration Date2022-11-23
Last Update Date2022-11-23
Business Address
DOMINIC MICHAEL ENGOLIA
114 GAUSE BLVD W
SLIDELL, LA 70460-2625
Phone number: 985-607-6363
Mailing Address
DOMINIC MICHAEL ENGOLIA
114 GAUSE BLVD W
SLIDELL, LA 70460-2625
Phone number: 985-607-6363