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Individual
MICHELLE L DONAHUE
Active
Individual
MICHELLE L DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025365-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-0213081
TAX ID
NY
Enumeration date
10/03/2006
Last updated
02/09/2011
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