Ivy Gallardo Donnelly, PT

NPI #1134134992 in Marion, Illinois

Provider Information

NPI Number
1134134992
Entity Type
Individual
Name
Ivy Gallardo Donnelly, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jul 30, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2401 W MAIN ST
City
Marion
ZIP Code
62959-1188
Phone
(618) 997-5311

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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