Individual
JENNIFER L DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 MARTER AVE, MOORESTOWN, NJ 08057-3114
(856) 291-4800
Mailing address
1619 W MCGALLIARD AVE, TRENTON, NJ 08610-3209
(609) 334-1279
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00353700
NJ
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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