Individual
LINDSAY ANNE DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15522 PINE ST, OMAHA, NE 68144-5119
(402) 871-7613
Mailing address
15522 PINE ST, OMAHA, NE 68144-5119
(402) 871-7613
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1101
NE
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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