# MR. PETER DOMINIANNI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1336280882
- **Gender:** Man
- **Credential:** M.S., P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | PT24515 | FL | Yes |
| 2251P0200X | Pediatric Physical Therapist | 022369 | NY | — |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 06/29/2020