DOMINIQUE BLACKMON

ROCKWALL, TX
NPI1942088612
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2023-09-15
Last Update Date2023-09-20
Business Address
DOMINIQUE BLACKMON DPT
2268 N LAKE SHORE DR STE 106
ROCKWALL, TX 75087-0280
Phone number: 972-979-6577
Mailing Address
DOMINIQUE BLACKMON DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206