Individual
MARC JASON DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 S MACLAND AVE, KEARNEY, MO 64060-7684
(816) 903-0214
Mailing address
410 S MACLAND AVE, KEARNEY, MO 64060-7684
(816) 903-0214
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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