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Individual

DENISE MARIE DONOVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4109 MEANDERING WAY, CRYSTAL LAKE, IL 60014-6535
(815) 479-8826
Mailing address
4109 MEANDERING WAY, CRYSTAL LAKE, IL 60014-6535
(815) 479-8826

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.014194
IL

Other

Enumeration date
01/29/2016
Last updated
01/29/2016
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