Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LORI DOMINICZAK, PT
Active Sole ProprietorLORI DOMINICZAK, PT is a Pediatric Occupational Therapy healthcare provider located in BROWN DEER, Wisconsin. NPI 1548450372 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · BROWN DEER, WI
Registration Details
- NPI Number
- 1548450372
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2007 (19.05936722019 yrs)
- Last Updated
- Jul 27, 2007
- License
-
2714-024 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4002 W CHERRYWOOD LNBROWN DEER, WI, 532091002Browse WI providers · Browse ZIP 53209
- Phone
- 4143783375
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.