Individual
DR. DOMINIC CHIANTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-1000
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
03/24/2020
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