NPI 1336899582
David J Domenico
Practice location
- Address
- 261 Main St, North Smithfield, RI 02896-7919
- Phone
- (401) 356-4777
- Mailing address
- 134 Caporal St, Cranston, RI 02910-2618
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1336899582
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Mar 2022
- Record last updated
- 28 Mar 2022
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.