Provider Demographics
NPI:1740294289
Name:DONNER, STACY ALLISON (R PT)
Entity type:Individual
Prefix:MRS
First Name:STACY
Middle Name:ALLISON
Last Name:DONNER
Suffix:
Gender:F
Credentials:R PT
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Mailing Address - Street 1:2252 WAYCROSS RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240
Mailing Address - Country:US
Mailing Address - Phone:513-742-2333
Mailing Address - Fax:513-742-0943
Practice Address - Street 1:861 N NOB HILL ROAD
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324
Practice Address - Country:US
Practice Address - Phone:954-577-5705
Practice Address - Fax:954-577-0168
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU1702CMedicare ID - Type Unspecified