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BAILY C. DONOVAN DPT

Individual Provider (NPI-1) Active

Physical Therapist

Provider Information

NPI Number
1568809820
Provider Type
Individual Provider (NPI-1)
Credentials
DPT
Status
Active

Contact & Location

Address
1088 W. PRAIRIE AVE, COEUR D'ALENE, ID, 838158741
Phone
(208) 772-6609
Fax
(208) 664-4313

Specialties & Taxonomies

Physical Therapist Primary License: WA #PT60155367

All Addresses

LOCATION

1088 W. PRAIRIE AVE

COEUR D'ALENE, ID, 838158741

(208) 772-6609

MAILING

1450 NORTHWEST BLVD. SUITE 106

COEUR D'ALENE, ID, 838145605

(208) 667-6264