Individual
MRS. DONIELLE LYNN BRASURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
232 ATLANTIC AVE, MILLVILLE, DE 19967-6728
(302) 539-3110
(302) 539-7237
Mailing address
232 ATLANTIC AVE, MILLVILLE, DE 19967-6728
(302) 539-3110
(302) 539-7237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10001969
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023100641
—
DE
Enumeration date
09/29/2006
Last updated
07/29/2009
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