Individual
BREEANNA DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
137 ALTMAR AVE, WEST ISLIP, NY 11795-1119
(631) 478-2660
Mailing address
137 ALTMAR AVE, WEST ISLIP, NY 11795-1119
(631) 478-2660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038340-1
NY
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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