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1073665543
NICOLE DONNELLY
SOUTHAMPTON, PA
NPI
1073665543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT017008)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
NICOLE DONNELLY MPT
1111 STREET RD
SOUTHAMPTON, PA 18966-4250
Phone number: 215-675-4466
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Mailing Address
NICOLE DONNELLY MPT
2539 FERNWOOD AVE
ROSLYN, PA 19001-3002
Phone number: 215-887-5859
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