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NPI Code Detail

MEDICARE: MS. CLAIRE E DONOVAN PT

MEDICARE: MS. CLAIRE E DONOVAN PT
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 TherapistPT2990ME

General Provider Information

NPI Number : 1447452362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CLAIRE E DONOVAN PT
Provider Business Mailing Address
First Line : 246 7TH ST
Second Line :
City : BANGOR
State : ME
Zip : 04401-5847
Country : US
Telephone Number : 207-947-5260
Fax Number : 207-947-5260
Provider Business Practice Location Address
First Line : 700 MT HOPE AVE
Second Line : SUITE 320
City : BANGOR
State : ME
Zip : 04401-5680
Country : US
Telephone Number : 207-941-2952
Fax Number : 207-941-2955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2007
Last Update Date : 01/14/2008

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Directions to “ MS. CLAIRE E DONOVAN PT” Practice Location

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