Lori Dominiczak, PT

NPI #1548450372 in Brown Deer, Wisconsin

Provider Information

NPI Number
1548450372
Entity Type
Individual
Name
Lori Dominiczak, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist - Pediatrics
Credential
PT
Enumeration Date
Jul 27, 2007
Last Updated
Jul 27, 2007

Practice Location

Address
4002 W CHERRYWOOD LN
ZIP Code
53209-1002
Phone
(414) 378-3375

Specialties & Taxonomy Codes

Specialty
Physical Therapist - PediatricsPediatrics

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