Dominique Pancotto

NPI 1427451921 · on the registry since 2014

Practice

Address: 36599 Lodge Dr
Sterling Heights, MI 48312
Phone: (586) 747-2159
Organisation at this address: Bloom And Grow Therapy Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 103K00000X
103K00000X
Also registered as: 247200000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-02-07

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 Michigan