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Individual

DORSEY DONOVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
147 E COULTER ST, PHILADELPHIA, PA 19144-2219
(215) 843-1062
Mailing address
147 E COULTER ST, PHILADELPHIA, PA 19144-2219
(215) 843-1062

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT001953E
PA

Other

Enumeration date
04/10/2007
Last updated
07/08/2007
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