NPI 1003152885

Darrel Dominique, PTA

Practitioner Physical Therapy Assistant Alexandria, LA

Practice location

Address: 16 Heyman Ln Lexington House, Alexandria, LA 71303-3523
Phone: (318) 442-4364
Mailing address: 4526 Park Dr S, Metairie, LA 70001-3328

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A7461 (LA)

Other Physical Therapy Assistant providers in Louisiana →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2088460 (TX)

Registry record

NPI: 1003152885
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2012
Record last updated: 24 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.