Individual
ANDREW DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 MAPLE ST, PALO ALTO, CA 94301-2219
(866) 839-6979
Mailing address
17801 DONMETZ ST, GRANADA HILLS, CA 91344-4013
(424) 346-4805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
299385
CA
Other
Enumeration date
11/18/2020
Last updated
10/13/2021
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