Individual
JESSICA LYNN DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3 FAWN MEADOWS DR, EUREKA, MO 63025-1207
(314) 795-4507
Mailing address
3 FAWN MEADOWS DR, EUREKA, MO 63025-1207
13147954507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0014834
CO
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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