Individual
DANELLE M DOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-8583
Mailing address
450 MORGAN AVE S, MINNEAPOLIS, MN 55405-2030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9117
MN
Other
Enumeration date
08/11/2012
Last updated
09/08/2013
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