Individual
JESSICA ANN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3044 KETTERING BLVD, MORAINE, OH 45439-1922
(614) 227-6952
Mailing address
3044 KETTERING BLVD, MORAINE, OH 45439-1922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.013465
OH
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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