Individual
KAREN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003239
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056-003239
OT STATE LICENSE #
IL
Enumeration date
12/28/2006
Last updated
04/13/2020
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