Individual
DR. DONNA M DETORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
96-98 MILLBURN AVENUE, SUITE 102, MILLBURN, NJ 07041
(973) 486-0212
(973) 486-0212
Mailing address
96-98 MILLBURN AVENUE, SUITE 102, MILLBURN, NJ 07041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01368100
NJ
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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