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Individual

BETSY DONAHOE-FILLMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, PHD.

Contact information

Practice address
1450 E US HIGHWAY 36, URBANA, OH 43078-9112
(937) 653-7333
(937) 652-4574
Mailing address
1450 E US HIGHWAY 36, URBANA, OH 43078-9112
(937) 653-7333
(937) 652-4574

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT004744
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000028494
ANTHEM BC BS
OH
05
2585573
OH
Enumeration date
10/03/2006
Last updated
07/08/2007
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