Individual
MARY SUE DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8904 GLENMORE RD, RICHMOND, VA 23229-8115
(804) 754-2045
Mailing address
8904 GLENMORE RD, RICHMOND, VA 23229-8115
(804) 765-4204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305002835
VA
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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