| Domingo Grullon Jr, DPT | |
|
11275 Delaware Pkwy Ste B, Crown Point, IN 46307-7812 | |
| (219) 663-8766 | |
| Not Available |
| Full Name | Domingo Grullon Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 11275 Delaware Pkwy Ste B, Crown Point, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720761570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02192500 (New York) | Primary |
| 225100000X | Physical Therapist | CP035073T (Virginia) | Secondary |
| Provider Name | Multicare Health System |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Domingo Grullon Jr, DPT 6050 Tacoma Mall Blvd Ste 300, Tacoma, WA 98409-6828 Ph: () - | Domingo Grullon Jr, DPT 11275 Delaware Pkwy Ste B, Crown Point, IN 46307-7812 Ph: (219) 663-8766 |
Rolanda Walker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11450 South Broadway, Crown Point, IN 46307 Phone: 219-488-0157 Fax: 219-661-2502 | |
Glory Rehabilitation & Consultancy Services,inc., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9715 Monroe St, Crown Point, IN 46307 Phone: 219-689-3390 Fax: 219-226-0938 | |
Rachel Medina, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 856 N Superior Dr, Crown Point, IN 46307 Phone: 219-213-3942 | |
Lovellyn Sagsagat Aganon, Physical Therapist Medicare: Medicare Enrolled Practice Location: 11171 Ohio St, Crown Point, IN 46307 Phone: 219-869-1197 | |
Nathanael D Kloosterman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1841 E Summit St, Crown Point, IN 46307 Phone: 219-801-7777 | |
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 E 109th Ave, Crown Point, IN 46307 Phone: 219-662-2400 | |
Cassandra Ann Meyers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11045 Broadway Ste F, Crown Point, IN 46307 Phone: 513-203-8400 |