Individual
MELISSA DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
602 VONDERBURG DR, SUITE 200, BRANDON, FL 33511-5900
(813) 653-1149
Mailing address
8211 LAGERFELD DR, LAND O LAKES, FL 34637-3207
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA10985
DOH LICENSE
FL
Enumeration date
11/23/2012
Last updated
11/23/2012
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