IndividualActive
Darrel Dominique, PTA
NPI 1003152885 · Physical Therapy Assistant · Alexandria, LA
Provider details
- NPI number
- 1003152885
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- A7461 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
16 Heyman Ln
Lexington House
Alexandria, LA 71303-3523
Phone: (318) 442-4364
Approximate (ZIP-level) locationGet directions
Mailing address
4526 Park Dr S
Metairie, LA 70001-3328
Registry dates
- Enumerated
- 2012-12-22
- Last updated
- 2012-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.