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Individual

SUSAN DONOHOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
600 BLAIRS FERRY RD NE, SUITE C, CEDAR RAPIDS, IA 52402-1475
(319) 393-6363
(319) 393-6361
Mailing address
600 BLAIRS FERRY RD NE, SUITE C, CEDAR RAPIDS, IA 52402-1475
(319) 393-6363
(319) 393-6361

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01075
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0665430
IA
Enumeration date
10/03/2006
Last updated
12/09/2008
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