Individual
MRS. SUSAN ROSE DONNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA. 03450
Contact information
Practice address
1209 INDIANA AVE, SAINT MARYS, OH 45885-1310
(419) 394-3258
(419) 394-4769
Mailing address
1815 LEFFLER DR, LIMA, OH 45806-1718
(419) 223-4223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
03450
OH
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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