Individual
LORENE DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7 MERION WAY, CUMBERLAND, ME 04021-3408
(207) 829-4525
Mailing address
7 MERION WAY, CUMBERLAND, ME 04021
(207) 829-4525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT729
ME
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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