Individual
MR. JAMES VINCENT DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
395 CLAREMONT AVE, #2, MONTCLAIR, NJ 07042-1879
(609) 529-7194
Mailing address
395 CLAREMONT AVE, #2, MONTCLAIR, NJ 07042-1879
(609) 529-7194
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
013365-1
NY
225X00000X
Occupational Therapist
Primary
46TR00329400
NJ
Other
Enumeration date
08/24/2010
Last updated
02/23/2012
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