Individual
MR. PETER DOMINIANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., P.T.
Contact information
Practice address
11223 EDGEWATER CIR, WELLINGTON, FL 33414-8831
(561) 531-9333
Mailing address
4249 BLUFF HARBOR WAY, WELLINGTON, FL 33449-8322
(561) 531-9333
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT24515
FL
2251P0200X
Pediatric Physical Therapist
022369
NY
Other
Enumeration date
02/09/2007
Last updated
06/29/2020
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