Individual
DONALD A MORMILE
Active
Individual
DONALD A MORMILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
285
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209366
PHP GENERIC ID
—
01
—
A3024
BLUE CROSS
—
05
—
PTO285
—
AK
Enumeration date
03/27/2006
Last updated
01/28/2008
Update your record
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