Individual
KATHERINE MARY DOMENICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
134 HALL ST UNIT 1, CONCORD, NH 03301-3470
(603) 224-4540
(603) 228-7384
Mailing address
80 RUNNELLS RD, CONCORD, NH 03303-3908
(603) 209-2042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3625
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053609551
—
NH
Enumeration date
07/18/2011
Last updated
04/07/2021
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