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Individual

MRS. AMBER MARIE DONOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
N84W17049 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2701
(262) 255-1180
(262) 255-2503
Mailing address
N84W17049 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2701
(262) 255-1180

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2561-26
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
APPLICATION PENDING
WI
Enumeration date
11/16/2009
Last updated
11/16/2009
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