DONAVAN ANTHONY ROMAN
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1023953080- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2110 FOX DR STE D, CHAMPAIGN, IL, 618207553
- Phone
- (217) 398-9800
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: IL #160.010625