Individual
MARLYN A DONAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
432-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432-24
PHYSICAL THERAPIST
WI
Enumeration date
11/11/2009
Last updated
11/11/2009
Update your record
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