Individual
MRS. LAUREN ALISSON O'DONOHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
404 E HARFORD ST, MILFORD, PA 18337-1028
(570) 409-9191
Mailing address
PO BOX 1122, WURTSBORO, NY 12790-1122
(845) 888-4409
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
006073-1
NY
225200000X
Physical Therapy Assistant
Primary
TE008228
PA
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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