Individual
DONNA DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5216 LAWFORD LN, FORT WAYNE, IN 46815-5131
(260) 486-3458
(260) 486-2691
Mailing address
5216 LAWFORD LN, FORT WAYNE, IN 46815-5131
(260) 486-3458
(260) 486-2691
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
339338
IN
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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