Individual
DONNA DOULONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2603A TARNBROOK DR, MOUNT LAUREL, NJ 08054-2629
(203) 257-4906
Mailing address
2603A TARNBROOK DR, MOUNT LAUREL, NJ 08054-2629
(203) 257-4906
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00303300
NJ
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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