Individual
MICHAEL DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 ANSBOROUGH AVE, WATERLOO, IA 50701
(319) 433-0130
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
096251
IA
225100000X
Physical Therapist
3390
NE
Other
Enumeration date
08/04/2014
Last updated
07/30/2024
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