Individual
JULIE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3525 E LOUISE DR. SUITE 500, MERIDIAN, ID 83642
(208) 706-7050
(208) 706-7059
Mailing address
3525 E LOUISE DR. SUITE 500, MERIDIAN, ID 83642
(208) 706-7050
(208) 706-7059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1368
ID
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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