Emily J Domaille, PTA

NPI #1558056010 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1558056010
Entity Type: Individual
Name: Emily J Domaille, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 10, 2023
Last Updated: Apr 10, 2023

Practice Location

Address: 1125 N 13TH ST
City: Sheboygan
State: Wisconsin
ZIP Code: 53081-3281
Phone: (920) 803-1617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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