NPI 1083074280

Dominique Robertson

Practitioner Other Technician Charlestown, IN

Practice location

Address: 7509 Charlestown Pike, Charlestown, IN 47111-9623
Phone: (812) 256-4578
Mailing address: 6210 John Wayne Dr, Charlestown, IN 47111-7720

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Indiana →

Registry record

NPI: 1083074280
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Mar 2016
Record last updated: 1 Mar 2016

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.