NPI 1609992593

Henry Domen

Practitioner Physical Therapy Assistant La Plata, MD

Practice location

Address: 107 S Wiltshire CT, La Plata, MD 20646-3515
Phone: (301) 932-1840

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A1279 (MD)

Other Physical Therapy Assistant providers in Maryland →

Registry record

NPI: 1609992593
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2007
Record last updated: 8 Jul 2007

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.