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Contact Information

ANGELA M DOMNITZ, PT
11363 N. PORT WASHINGTON ROAD
MEQUON, WI53092
 Phone: 262-833-2060
 Fax: 262-833-2061
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ANGELA M DOMNITZ · (Female)

NPI Number 1164976155
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 08/08/2016
Last updated 02/20/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 10437
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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