Individual
JESSICA DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1608 TOWN CENTER BLVD STE A, WESTON, FL 33326-3639
(954) 217-0398
Mailing address
7539 SW 26TH CT, DAVIE, FL 33314-1003
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PTA29881
FL
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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