Search › North Carolina › Physical Therapy Assistant
Ivan Domenech
NPI 1386972867 · on the registry since 2009
Practice
- Address
- 103 Gossman Rd
Southern Pines, NC 28387 - Phone
- (910) 246-1158
- Organisation at this address
- St. Joseph Of The Pines, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 42
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina