ANDREA DOMINA

KENOSHA, WI
NPI1235542259
Former NameANDREA PALMER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  12648-24)
Enumeration Date2014-06-06
Last Update Date2016-02-09
Business Address
-- ANDREA DOMINA PT
7224 118TH AVE STE E
KENOSHA, WI 53142-8424
Phone number: 262-857-4400
Mailing Address
-- ANDREA DOMINA PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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