| Doctor Name: | MR. KEITH ROBERT DONOVAN |
| NPI Number: | 1194931527 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 16448 |
| Business Practice Address: | 20528 Boland Farm Rd Suite 211 Germantown, MD - 208764021 |
| Business Phone Number: | 3019160164 |
| Business Fax Number: | 3015400722 |
| Mailing Address: | 10112 Chickadee Ln, ADELPHI |
| State: | MD |
| Postal Code: | 207831216 |
| Phone Number: | 3014391429 |
| Fax Number: | 3015400722 |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 16448 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |