Individual
DAVID M DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
465 WOLCOTT RD, WOLCOTT, CT 06716-2613
(203) 879-0107
(203) 879-0206
Mailing address
465 WOLCOTT RD, WOLCOTT, CT 06716-2613
(203) 879-0107
(203) 879-0206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006743
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004212619
—
CT
Enumeration date
06/01/2006
Last updated
01/21/2015
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