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Lori Dominiczak, PT
Pediatric Physical Therapist in Brown Deer, Wisconsin
NPI 1548450372

Lori Dominiczak is a Pediatric Physical Therapist based in Brown Deer, WI and is specialized in Pediatrics. Lori Dominiczak practices in Brown Deer, WI and has the professional credentials of PT. The NPI Number for Lori Dominiczak is 1548450372 and holds a License No. 2714-024 (Wisconsin).

The current practice location address for Lori Dominiczak is 4002 W Cherrywood Ln, Brown Deer, WI and can be reached out via phone at 414-378-3375.

Location: 4002 W Cherrywood Ln, Brown Deer, WI, 53209-1002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548450372
Provider Name
Lori Dominiczak
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
4002 W Cherrywood Ln, Brown Deer, WI, 53209-1002
Phone Number
414-378-3375
Fax Number
Provider Enumeration Date
07/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40440700 05 WI
institution
Provider Business Practice Location Address Details
Address
4002 W Cherrywood Ln
City
Brown Deer
State
Wisconsin
Zip
53209-1002
Phone Number
414-378-3375
Fax Number
person
Provider Business Mailing Address Details
Address
4002 W Cherrywood Ln
City
Brown Deer
State
Wisconsin
Zip
53209-1002
Phone Number
414-378-3375
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
2714-024 (Wisconsin)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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