Individual
CHARLENE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3915 8TH AVE W, BRADENTON, FL 34205-1701
(941) 747-7741
(941) 747-1431
Mailing address
3915 8TH AVE W, BRADENTON, FL 34205-1701
(941) 747-7741
(941) 747-1431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2459
FL
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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