Provider Demographics
NPI:1649339920
Name:DONALDSON, AMBER T (DPT)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:T
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 VALENCIA CIR
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-1255
Mailing Address - Country:US
Mailing Address - Phone:727-573-2825
Mailing Address - Fax:
Practice Address - Street 1:1 PROGRESS PLZ
Practice Address - Street 2:SUITE 1500
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4353
Practice Address - Country:US
Practice Address - Phone:727-895-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21896225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist