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Individual

KYLE DONOHUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
3499 ROUTE 9 N STE 2B, FREEHOLD, NJ 07728-3277
(732) 431-1126
(732) 414-1551
Mailing address
3499 ROUTE 9 N STE 2B, FREEHOLD, NJ 07728-3277
(732) 431-1126
(732) 414-1551

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00390100
NJ

Other

Enumeration date
11/02/2021
Last updated
11/10/2021
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