Individual
MR. BRIAN W DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
770 NEWTOWN YARDLEY RD, SUITE 210, NEWTOWN, PA 18940-4501
(215) 860-7031
(215) 860-5704
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002861E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
727658
HIGHMARK BCBS
PA
Enumeration date
09/22/2006
Last updated
12/28/2015
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