Search › Indiana › 225100000X
Domingo Grullon, DPT
NPI 1720761570 · on the registry since 2023
Practice
- Address
- 11275 Delaware Pkwy Ste B
Crown Point, IN 46307 - Phone
- (219) 663-8766
- Organisation at this address
- Indiana Sports & Medical Science Institute, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Additional practice sites
- 19321 Mountain Hwy E Ste 100, Spanaway, WA
- 10787 Randolph St Ste 220, Winfield, IN
- 2502 Calumet Ave, Valparaiso, IN
- 3319 Willowcreek Rd, Portage, IN
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- NY, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-17
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 Indiana