JUSTIN MARSHALL DOMINGUEZ

FORT LEONARD WOOD, MO
NPI1639569403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2014026922)
Enumeration Date2015-01-30
Last Update Date2015-01-30
Business Address
Dr. JUSTIN MARSHALL DOMINGUEZ DPT
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-1707
Mailing Address
Dr. JUSTIN MARSHALL DOMINGUEZ DPT
3159 W HIGH POINT ST
SPRINGFIELD, MO 65810-7814
Phone number: