PATRICK J DOMANICO PT

ANTHEM PHYSICAL MEDICINE LLC

Dr PATRICK J DOMANICO PT is a male medical professional, specializing in Physical Therapy. He graduated in 1973.

Contact

ANTHEM PHYSICAL MEDICINE LLC

3624 W ANTHEM WAY
ANTHEM
AZ
850860440

Tel: 6235519950

PATRICK J DOMANICO PT Information

Npi 1710966767
Pac Id 3577581768
Professional Enrollment Id I20051107000130
Last Name DOMANICO
First Name PATRICK
Middle Name J
Suffix
Gender M
Credential PT
Medical School Name OTHER
Graduation Year 1973
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ANTHEM PHYSICAL MEDICINE LLC
Group Practice Pac Id 4587968391
Number Of Group Practice Members 3
Line 1 Street Address 3624 W ANTHEM WAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ANTHEM
State AZ
Zip Code 850860440
Phone Number 6235519950
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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