Dr. Dominique E Wynn, DPT
Physical Therapist in Long Branch, New Jersey
1063608594- Practice location
- 375 Macarthur Ave, # 2, Long Branch, NJ 07740-7649
- Phone
- 415-846-0395
- Fax
- —
- Last updated
- October 14, 2019
Dominique E Wynn is a Physical Therapist based in Long Branch, NJ. Dominique E Wynn practices in Long Branch, NJ and has the professional credentials of DPT. The NPI Number for Dominique E Wynn is 1063608594 and holds a License No. 25685 (CA). The current practice location address for Dominique E Wynn is 375 Macarthur Ave, # 2, Long Branch, NJ 07740-7649 and can be reached out via phone at 415-846-0395.
Provider Profile Details
- NPI Number
- 1063608594
- Provider Name
- Dominique E Wynn
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 375 Macarthur Ave, # 2, Long Branch, NJ 07740-7649
- Phone Number
- 415-846-0395
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 19, 2007
- Last Update Date
- October 14, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 375 Macarthur Ave
# 2
Long Branch, NJ 07740-7649 - City
- Long Branch
- State
- New Jersey
- Zip
- 07740-7649
- Phone Number
- 415-846-0395
Provider Business Mailing Address Details
- Address
- 375 Macarthur Ave
# 2
Long Branch, NJ 07740-7649 - City
- Long Branch
- State
- NJ
- Zip
- 07740-7649
License Information
- License Number
- 25685
- License State
- CA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Dominique E Wynn, DPT?
The NPI number of Dr. Dominique E Wynn, DPT is 1063608594. It was assigned on September 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Dominique E Wynn, DPT?
Dr. Dominique E Wynn, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CA under license number 25685.
Where does Dr. Dominique E Wynn, DPT practice?
The practice location is 375 Macarthur Ave, # 2, Long Branch, NJ 07740-7649. The office can be reached at 415-846-0395 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063608594 directly on the NPPES registry website.