Individual
DONOVAN JONES LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, PHD, CSCS
Contact information
Practice address
22 SW 258TH ST, NEWBERRY, FL 32669-4133
(352) 474-6111
Mailing address
22 SW 258TH ST, NEWBERRY, FL 32669-4133
(352) 474-6111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23428
FL
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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