NPI 1023714912

Dominique Hysmith

Practitioner Physical Therapy Assistant Laguna Hills, CA

Practice location

Address: 24452 Health Center Dr, Laguna Hills, CA 92653-3604
Phone: (949) 837-8000
Mailing address: 119 Huntington, Irvine, CA 92620-3790

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 9735 (CA)

Other Physical Therapy Assistant providers in California →

Registry record

NPI: 1023714912
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2023
Record last updated: 2 Feb 2023

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.