Stefanie M Dominguez, PT

NPI #1164700274 in Hickory Hills, Illinois

Provider Information

NPI Number: 1164700274
Entity Type: Individual
Name: Stefanie M Dominguez, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 25, 2011
Last Updated: Apr 26, 2012

Practice Location

Address: 9638 S ROBERTS RD
Address 2: UNIT B36
City: Hickory Hills
State: Illinois
ZIP Code: 60457-2238
Phone: (708) 237-4270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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