Individual
SAMUEL BISMARK DONKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 LAUREL ST, LEE, MA 01238-3800
(413) 243-4747
Mailing address
13 WESTMINISTER ST, PITTSFIELD, MA 01201-3518
(413) 770-3135
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9350
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
UNKNOWN
MA
Enumeration date
01/04/2021
Last updated
01/04/2021
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