Individual
CHARLES DOMNISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1001 G ST NW, WASHINGTON, DC 20001-4545
(202) 347-7745
Mailing address
2351 EISENHOWER AVE, APT 609, ALEXANDRIA, VA 22314-5359
(516) 680-0937
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT871511
DC
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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