Individual
MR. KEITH ROBERT DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3 EXECUTIVE PARK CT, GERMANTOWN, MD 20874-2643
(301) 706-0688
(301) 540-0722
Mailing address
10112 CHICKADEE LN, ADELPHI, MD 20783-1216
(301) 706-0688
(301) 515-6039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16448
MD
Other
Enumeration date
05/15/2007
Last updated
08/15/2016
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