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Individual
TIMOTHY ROBERT MCDONNELL
Active
Individual
TIMOTHY ROBERT MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC007741L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40585200
—
WI
Enumeration date
09/07/2007
Last updated
09/07/2007
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