Individual
DONNA LIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1485 INTERNATIONAL PKWY, HEATHROW, FL 32746-5303
(800) 798-6035
Mailing address
1485 INTERNATIONAL PKWY, HEATHROW, FL 32746-5303
(800) 798-6035
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3918
NM
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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