Mr. Darrel Dominique
Physical Therapy Assistant
16 Heyman Ln Lexington House
Alexandria
, Louisiana 71303-3523
Mr. Darrel Dominique
Physical Therapy Assistant
16 Heyman Ln Lexington House
Alexandria
, Louisiana 71303-3523
(504) 875-1216
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Mr. Darrel Dominique
- 4526 Park Dr S
- Metairie, LA
- Zip : 70001-3328
- Phone : (504) 875-1216
Second Address
- Mr. Darrel Dominique
- 16 Heyman Ln Lexington House
- Alexandria, LA
- Zip : 71303-3523
- Phone : (318) 442-4364
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 2088460 | TX |
| Y | 225200000X | Physical Therapy Assistant | A7461 | LA |
National Provider Identifier
| NPI | 1003152885 |
|---|---|
| Provider Name | Mr. Darrel Dominique |
| First Address | Metairie, LA 70001-3328 |
| Second Address | Alexandria, LA 71303-3523 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/12/2012 |
| Last Update Date | 24/12/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.