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Individual

LYRA MARIE DONAHUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
701 GAULT AVE N STE A, FORT PAYNE, AL 35967-2627
(256) 845-8994
Mailing address
535 COUNTY ROAD 696, CEDAR BLUFF, AL 35959-3449
(256) 779-8020
(256) 845-8964

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1783
AL

Other

Enumeration date
01/02/2007
Last updated
07/08/2007
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