Individual
MS. DONNIELLE LAUREN ROME-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
129 N TRADD ST, STATESVILLE, NC 28677-5239
(516) 455-9860
Mailing address
129 N TRADD ST, STATESVILLE, NC 28677-5239
(516) 455-9860
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018414-1
NY
Other
Enumeration date
11/20/2014
Last updated
11/05/2020
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