Individual
CAROLINE JANE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N ITHAN AVE, BRYN MAWR, PA 19010-1782
(610) 357-7057
Mailing address
75 TODMORDEN DR, ROSE VALLEY, PA 19086-6742
(610) 357-7057
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016248
PA
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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