Individual
MRS. DONNA ABBOTT
Active
Individual
MRS. DONNA ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003946
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192965
BCBS PHYSICAL THERAPY
VA
01
—
5423096
AETNA
—
01
—
650017802
RAILROAD MEDICARE
VA
05
—
8928690
—
VA
Enumeration date
04/04/2006
Last updated
04/12/2018
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