IndividualActive
Angela Domnitz, PT
NPI 1164976155 · Orthopedic Physical Therapist · Mequon, WI
Provider details
- NPI number
- 1164976155
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 10437 (WI)
Practice location
11363 N. Port Washington Road
Mequon, WI 53092
Phone: (262) 833-2060
Fax: (262) 833-2061
Mailing address
33900 Harper Ave Ste 104
Clinton Twp, MI 48035-4258
Registry dates
- Enumerated
- 2016-08-08
- Last updated
- 2025-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.