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Maria Cheryl Domingo, PT

Physical Therapist in Long Island City, NY. Individual provider (NPI-1).

NPI number1891069886
StatusActive
Last updated in NPPESFeb 7, 2013

Details

NPI
1891069886
Entity type
Individual (NPI-1)
Name
Maria Cheryl Domingo
Credential
PT
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 8, 2012
Last updated
Feb 7, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist019064NYYes

Practice location

3636 33rd St
Long Island City, NY 11106-2329

Phone 123-456-7890

Mailing address

3636 33rd St
Long Island City, NY 11106-2329

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