| Mr Dominic Burgos Corpus, PT | |
|
6121 Woodman Ave Apt 316, Van Nuys, CA 91401-6309 | |
| (818) 267-4964 | |
| Not Available |
| Full Name | Mr Dominic Burgos Corpus |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6121 Woodman Ave Apt 316, Van Nuys, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992171235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 42606 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dominic Burgos Corpus, PT 6121 Woodman Ave Apt 316, Van Nuys, CA 91401-6309 Ph: (818) 267-4964 | Mr Dominic Burgos Corpus, PT 6121 Woodman Ave Apt 316, Van Nuys, CA 91401-6309 Ph: (818) 267-4964 |
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