EMILY J DOMAILLE

SHEBOYGAN, WI
NPI1558056010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  3070-19)
Enumeration Date2023-04-10
Last Update Date2023-04-10
Business Address
EMILY J DOMAILLE PTA
1125 N 13TH ST
SHEBOYGAN, WI 53081-3281
Phone number: 920-803-1617
Mailing Address
EMILY J DOMAILLE PTA
1125 N 13TH ST
SHEBOYGAN, WI 53081-3281
Phone number: 920-803-1617