Stephanie Domagalski

NPI #1043569114 in Springfield, Illinois

Provider Information

NPI Number: 1043569114
Entity Type: Individual
Name: Stephanie Domagalski
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 5, 2012
Last Updated: Sep 5, 2012

Practice Location

Address: 3631 S 6TH ST
City: Springfield
State: Illinois
ZIP Code: 62703-4777
Phone: (217) 535-3685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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