Dominique Pakingan
Physical Therapy Assistant in Anaheim, CA. Individual provider (NPI-1).
NPI number1801469754
StatusActive
Last updated in NPPESJul 20, 2021
Details
- NPI
- 1801469754
- Entity type
- Individual (NPI-1)
- Name
- Dominique Pakingan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2021
- Certification date
- Jul 20, 2021
- Last updated
- Jul 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA49311 | CA | Yes |
Practice location
141 S Knott AveAnaheim, CA 92804-1406
Phone 714-821-7310
Mailing address
10811 Carla PlCerritos, CA 90703-1504
Phone 562-569-9886
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All 66 Physical Therapy Assistant providers in Anaheim · All 11,123 providers in Anaheim
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