Dr Justin Marshall Dominguez, DPT | |
4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
(573) 596-1707 | |
(573) 596-0435 |
Full Name | Dr Justin Marshall Dominguez |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639569403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2014026922 (Missouri) | Primary |
Mailing Address | Practice Location Address |
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Dr Justin Marshall Dominguez, DPT 3159 W High Point St, Springfield, MO 65810-7814 Ph: () - | Dr Justin Marshall Dominguez, DPT 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-1707 |
Mrs. Marycris Medina Gandionco, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1707 | |
Barry Dwayne Whiteside, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Cody Frey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: General Leonard Wood Army Community Hospital, 4430 Missouri Avenue, Fort Leonard Wood, MO 65473 Phone: 573-596-0035 | |
Riley Quan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave Rm 58, Fort Leonard Wood, MO 65473 Phone: 573-596-1707 | |
Elizabeth Emily Painter, MPT, OCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Christopher Williams, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 417-596-1856 | |
Michelle Suzanne Larue, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-9795 |