Keith Robert Donovan P.T.

NPI 1194931527 - Physical Therapist - 225100000X

NPI Details
NPI 1194931527
Gender Male
Enumeration Date 05/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
20528 BOLAND FARM RD
SUITE 211
GERMANTOWN MD, 20876-4021, US
Phone (301) 916-0164
Fax (301) 540-0722
Business Location
10112 CHICKADEE LN
ADELPHI MD, 20783-1216, US
Phone (301) 439-1429
Fax (301) 540-0722
Toxanomy
Taxonomy Code 225100000X
License State Maryland
License Number 16448
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According to our database, Mr. Keith Robert Donovan P.T. NPI is 1194931527, taxonomy code is 225100000X and license number is 16448, license state is located at Maryland. Keith Robert Donovan P.T. physically located at 20528 Boland Farm Rd, Germantown MD, 20876-4021. NPI Number Keith Robert Donovan P.T. has the Individual type.

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1194931527 NPI number is provided on an as is basis without warranty of any kind. 1194931527 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Robert Donovan P.T. are for informational purposes only.