Individual
RYAN PATRICK DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 489-4444
Mailing address
1728 S ANNETT ST, BOISE, ID 83705-3168
(651) 210-4117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1942
ID
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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