Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Henry Domen Jr.

Individual provider Physical Therapy Assistant · NPI 1609992593

Henry Domen Jr. is a Physical Therapy Assistant in LA Plata, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2007

Practice location Address checks out

107 S Wiltshire Ct
LA Plata, MD 20646-3515
Phone: (301) 932-1840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A1279 (MD)

Record details

NPI number1609992593
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 22, 2007
Last updated in NPPESJuly 8, 2007

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