Individual
MR. DONALD MCGREGOR TEAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT,OCS,ATC,LAT
Contact information
Practice address
1894 59TH ST W, BRADENTON, FL 34209-4630
(941) 798-6189
(941) 798-6087
Mailing address
1894 59TH ST W, BRADENTON, FL 34209-4630
(941) 798-6189
(941) 798-6087
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8414
FL
2251S0007X
Sports Physical Therapist
PT8414
FL
2251X0800X
Orthopedic Physical Therapist
PT8414
FL
2255A2300X
Athletic Trainer
AL349
FL
Other
Enumeration date
02/02/2006
Last updated
12/03/2011
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