DOMINIC BURGOS CORPUS

VAN NUYS, CA
NPI1992171235
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  42606)
Enumeration Date2015-08-20
Last Update Date2015-08-20
Business Address
Mr. DOMINIC BURGOS CORPUS PT
6121 WOODMAN AVE APT 316
VAN NUYS, CA 91401-6309
Phone number: 818-267-4964
Mailing Address
Mr. DOMINIC BURGOS CORPUS PT
6121 WOODMAN AVE APT 316
VAN NUYS, CA 91401-6309
Phone number: 818-267-4964