Individual
JENNIFER DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
13115 RUDYS WAY, STREETMAN, TX 75859-7171
(817) 727-3496
Mailing address
13115 RUDYS WAY, STREETMAN, TX 75859-7171
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2104527
TX
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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