DOMENECH, MANUEL ANTONIO - Licensee Information

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DOMENECH, MANUEL ANTONIO

Practice Address:	UNIVERSITY OF ST AUGUSTINE 5401 LA CROSSE AVE AUSTIN TX 78739 Address last updated on 1/10/2017
Phone #:	(737) 202-3347
Fax #:
County:	NOT OKLAHOMA
License:	640
Dated:	7/12/1976
Expires:	1/31/2018
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2018

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
UNIVERSITY OF ST AUGUSTINE 5401 LA CROSSE AVE AUSTIN TX 78739 Phone #: (737) 202-3347 Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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