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1700661097
DENIVELISSE DOMINGUEZ
WORCESTER, MA
NPI
1700661097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 27152)
Enumeration Date
2023-08-28
Last Update Date
2023-08-28
Business Address
DENIVELISSE DOMINGUEZ PT, DPT
93 STAFFORD ST
WORCESTER, MA 01603-1459
Phone number: 508-593-1890
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Mailing Address
DENIVELISSE DOMINGUEZ PT, DPT
27 HOLLYWOOD ST APT 2
WORCESTER, MA 01610-3225
Phone number: 508-825-4535
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