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1760481154
MARK ALLEN DONATHAN
PHILADELPHIA, PA
NPI
1760481154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
174400000X Specialist
(Licence: PA PT012924L)
Enumeration Date
2005-07-18
Last Update Date
2021-12-17
Business Address
Mr. MARK ALLEN DONATHAN MPT
10980 NORCOM RD
PHILADELPHIA, PA 19154-2302
Phone number: 215-872-3595
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Mailing Address
Mr. MARK ALLEN DONATHAN MPT
10980 NORCOM RD
PHILADELPHIA, PA 19154-2302
Phone number: 215-872-3595
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