Individual
MS. MEGHAN ELIZABETH DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
N27W5707 LINCOLN BLVD, CEDARBURG, WI 53012-2852
(262) 376-7676
Mailing address
208 W ALTA LOMA CIR, THIENSVILLE, WI 53092-1720
(262) 565-3546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10281-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40449200
—
WI
Enumeration date
05/03/2007
Last updated
07/08/2007
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