Individual
EAMON MICHAEL DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1897 ISLAND WALK WAY, UNIT 5, FERNANDINA BEACH, FL 32034-1948
(904) 261-4664
(904) 261-5852
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 236-2774
(706) 236-2783
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23858
FL
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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