Provider Demographics
NPI:1659835155
Name:DOMINICK, APRIL LYNNE (DPT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LYNNE
Last Name:DOMINICK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 N LINCOLN ST STE 907
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2138
Mailing Address - Country:US
Mailing Address - Phone:720-583-0439
Mailing Address - Fax:
Practice Address - Street 1:1120 N LINCOLN ST STE 907
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2138
Practice Address - Country:US
Practice Address - Phone:720-583-0439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0016130208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation