| NPI | 1801864541 |
|---|---|
| Former Name | MONICA DONOVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501014640) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 03864) |
| 225100000X Physical Therapist (Licence: UT 9044125-2401) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2024-07-10 |