Individual
MS. DONNA JEAN MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1104 WELSH ROAD, PHILADELPHIA, PA 19115
(215) 676-9191
(215) 856-9560
Mailing address
613 STANWOOD ST, PHILADELPHIA, PA 19111-2308
(215) 722-5194
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002671L
PA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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