Individual
DONOVAN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11947 SOUTHERN BLVD, ROYAL PALM BEACH, FL 33411-7619
(561) 204-2213
Mailing address
11947 SOUTHERN BLVD, ROYAL PALM BEACH, FL 33411-7619
(561) 204-2213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA21170
FLORIDA MEDICAL LICENSE
FL
Enumeration date
02/26/2008
Last updated
02/26/2008
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