Individual
CHANTAL LYNE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1942 HUNTINGTON DR, SOUTH PASADENA, CA 91030-4959
(626) 403-6545
(626) 441-7660
Mailing address
1800 CAMDEN AVE, SOUTH PASADENA, CA 91030-4910
(626) 403-6429
(626) 403-6429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26069
CA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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