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NPI Code Detail

MEDICARE: MRS. MICHELE CHRISTINE DONOHUE P.T.

MEDICARE: MRS. MICHELE CHRISTINE DONOHUE P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist00008507WA

General Provider Information

NPI Number : 1285970046
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELE CHRISTINE DONOHUE P.T.
Provider Business Mailing Address
First Line : 14015 62ND AVE NW
Second Line :
City : GIG HARBOR
State : WA
Zip : 98332-8607
Country : US
Telephone Number : 253-530-1100
Fax Number : 253-530-1085
Provider Business Practice Location Address
First Line : 14015 62ND AVE NW
Second Line :
City : GIG HARBOR
State : WA
Zip : 98332-8607
Country : US
Telephone Number : 253-530-1100
Fax Number : 253-530-1085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2012
Last Update Date : 12/26/2012

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Directions to “ MRS. MICHELE CHRISTINE DONOHUE P.T.” Practice Location

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