Organization
DOMINICZAK THERAPY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI DOMINICZAK (MANAGER)
(414) 378-3375
Entity
Organization
Contact information
Practice address
4002 W CHERRYWOOD LN, BROWN DEER, WI 53209-1002
(414) 378-3375
Mailing address
4002 W CHERRYWOOD LN, BROWN DEER, WI 53209-1002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2714-024
WI
Other
Enumeration date
01/24/2009
Last updated
01/24/2009
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