Eamon Michael Donovan, PTA

NPI #1194065243 in Fernandina Beach, Florida

Provider Information

NPI Number
1194065243
Entity Type
Individual
Name
Eamon Michael Donovan, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Feb 27, 2013
Last Updated
Feb 27, 2013

Practice Location

Address
1897 ISLAND WALK WAY
Address 2
UNIT 5
State
Florida
ZIP Code
32034-1948
Phone
(904) 261-4664

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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