| NPI | 1093095713 |
|---|---|
| Former Name | JANET AGNES DONAHUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MN A1200) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 1654-19) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |