Individual
AUSTIN ADAMS DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1316 S RIDGEWOOD AVE, EDGEWATER, FL 32132-2718
(386) 423-0100
Mailing address
903 EGRET CT, EDGEWATER, FL 32141-4145
(864) 653-0547
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT38904
FL
Other
Enumeration date
08/04/2022
Last updated
12/07/2022
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