Healthcare Provider Details

I. General information

NPI: 1639149800
Provider Name (Legal Business Name): DANAE DONEGAN PT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 NORTH MAIN ST STEP BY STEP PHYSICAL THERAPY PC
WARSAW NY
14569
US

IV. Provider business mailing address

PO BOX 412 STEP BY STEP PHYSICAL THERAPY
WARSAW NY
14569
US

V. Phone/Fax

Practice location:
  • Phone: 585-786-8700
  • Fax: 585-786-2659
Mailing address:
  • Phone: 585-786-8700
  • Fax: 585-786-2659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number020799
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: