Individual
MS. ANNA VICTORIA DOMYANCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1040 ROUTE 63, SPOFFORD, NH 03462-3902
(603) 363-8068
Mailing address
1040 ROUTE 63, SPOFFORD, NH 03462-3902
(603) 363-8068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2996
NH
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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