Individual
ELLEN CARPENTER DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
262 TOLL GATE ROAD, LANGHORNE, PA 19047
(215) 968-4650
Mailing address
42 BAILEY DRIVE, WASHINGTON CROSSING, PA 18977
(215) 369-5451
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006825
PA
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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