Organization
WALKLOTS PROSTHETICS ORTHOTICS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DOMINI (OWNER)
(715) 849-8703
Entity
Organization
Contact information
Practice address
935 S 17TH AVE, WAUSAU, WI 54401-5740
(715) 849-8703
Mailing address
1815 STEWART AVE, WAUSAU, WI 54401-5373
(715) 849-8703
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
07/10/2023
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