EMILY J DOMAILLE PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1558056010- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 1125 N 13TH ST, SHEBOYGAN, WI, 530813281
- Phone
- (920) 803-1617
- Fax
- (920) 803-1622
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: WI #3070-19