Organization
DONAHUE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHARLES DONAHUE MSPT (OWNER PHYSICAL THERAPIST)
(602) 318-5556
Entity
Organization
Contact information
Practice address
4925 W BELL RD, GLENDALE, AZ 85308-3427
(602) 318-5556
(602) 789-6755
Mailing address
11038 N 28TH DR APT 123, PHOENIX, AZ 85029-4308
(602) 318-5556
(602) 789-6755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5998
AZ
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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