Individual
BAILY C. DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1088 W. PRAIRIE AVE, COEUR D'ALENE, ID 83815-8741
(208) 772-6609
(208) 664-4313
Mailing address
1450 NORTHWEST BLVD., SUITE 106, COEUR D'ALENE, ID 83814-5605
(208) 667-6264
(208) 664-4313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60155367
WA
Other
Enumeration date
05/28/2013
Last updated
12/02/2021
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