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NPI Code Detail

MEDICARE: DONOVAN DORSEY

MEDICARE: DONOVAN DORSEY
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
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1942199039
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONOVAN DORSEY
Provider Business Mailing Address
First Line : 9300 DEWITT LOOP # 24
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 580-280-1229
Fax Number :
Provider Business Practice Location Address
First Line : 9300 DEWITT LOOP
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 571-231-2198
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2025
Last Update Date : 12/16/2025

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Directions to “ DONOVAN DORSEY ” Practice Location

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