Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT00008168 | TN |
NPI | 1275845307 |
---|---|
Provider Name | Terri Ann Donahue |
First Address | Paris, TN 38242-4917 |
Second Address | Paris, TN 38242-5472 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2010 |
Last Update Date | 21/08/2018 |