Individual
CASSIDY MARIE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 MALTMAN DR, GRASS VALLEY, CA 95945-5184
(530) 272-7306
(530) 272-7316
Mailing address
715 MALTMAN DR, GRASS VALLEY, CA 95945-5184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
297714
CA
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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