Dominiczak Therapy Associates, LLC

NPI #1730327073 in Brown Deer, Wisconsin

Provider Information

NPI Number: 1730327073
Entity Type: Organization
Organization Name: Dominiczak Therapy Associates, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 24, 2009
Last Updated: Jan 24, 2009

Practice Location

Address: 4002 W CHERRYWOOD LN
City: Brown Deer
State: Wisconsin
ZIP Code: 53209-1002
Phone: (414) 378-3375

Authorized Official

Name: LORI DOMINICZAK
Title: MANAGER
Phone: (414) 378-3375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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