Individual
DONNA ELLEN DORANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
464 MAIN ST, AGAWAM, MA 01001-1826
(413) 786-8000
Mailing address
86 HUNTERS GREENE CIR, AGAWAM, MA 01001-3663
(413) 789-2028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
001189
CT
225X00000X
Occupational Therapist
Primary
567
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0311677
—
MA
Enumeration date
04/19/2007
Last updated
07/08/2007
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