DENIVELISSE DOMINGUEZ

WORCESTER, MA
NPI1700661097
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MA  27152)
Enumeration Date2023-08-28
Last Update Date2023-08-28
Business Address
DENIVELISSE DOMINGUEZ PT, DPT
93 STAFFORD ST
WORCESTER, MA 01603-1459
Phone number: 508-593-1890
Mailing Address
DENIVELISSE DOMINGUEZ PT, DPT
27 HOLLYWOOD ST APT 2
WORCESTER, MA 01610-3225
Phone number: 508-825-4535