Individual
PENELOPE ANN DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 LIBERTY WAY, NIANTIC, CT 06357-1030
(860) 739-4007
Mailing address
23 LIBERTY WAY, NIANTIC, CT 06357-1030
(860) 739-4007
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1644
CT
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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