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Individual
MR. MARK ALLEN DONATHAN
Active
Individual
MR. MARK ALLEN DONATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT012924L
PA
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11351751
CAQH
PA
01
—
1333102
HIGHMARK
PA
01
—
2025970000
AMERIHEALTH
PA
Enumeration date
07/18/2005
Last updated
12/17/2021
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