| NPI | 1639624521 |
|---|---|
| Former Name | ALLIE DONATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT025187) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305210143) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2022-05-26 |