Individual
DR. TIAL ANN DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2000 WESLEYAN BLVD, RAPID CITY, SD 57702-9340
(605) 343-3555
Mailing address
4650 WILLIAMS ST, RAPID CITY, SD 57703-6380
(605) 769-0574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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