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SUSAN ESTHER DOMENECH MPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1437281714

Individual Registrant:
 SUSAN ESTHER DOMENECH MPT
Gender: F
Sole Proprietor

Location and contact information for practice:
27620 LANDAU BLVD STE 3 CATHEDRAL CITY, CA 92234-5540 US
Tel: 760-322-5090  Fax: 760-322-9175

Contact information for business:
45 AUBURN CT  REDLANDS, CA 92374-4277 US
Tel: 909-794-9570  Fax: --

Registration Information:
NPI: 1437281714
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CAPT26180

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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