MICHAEL L DOMINGO

KENT, WA
NPI1952658700
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT60289375)
Enumeration Date2012-08-11
Last Update Date2012-08-11
Business Address
-- MICHAEL L DOMINGO PT
25012 104TH AVE SE SUITE C
KENT, WA 98030-2821
Phone number: 253-856-3477
Mailing Address
-- MICHAEL L DOMINGO PT
PO BOX 2170
SUMNER, WA 98390-0480
Phone number: 253-840-2313