Individual
MRS. DONNA KAY IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4532 COPPER MOUNTAIN LN, RICHARDSON, TX 75082-3865
(214) 403-4384
(214) 853-5185
Mailing address
4532 COPPER MOUNTAIN LN, RICHARDSON, TX 75082-3865
(214) 403-4384
(214) 853-5185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1067643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT1067643
PT LICENSE
TX
Enumeration date
06/13/2007
Last updated
07/08/2007
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