Individual
JENNIFER DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
604 GOODRIDGE DR, SUITE A, RIDGELAND, MS 39157-4402
(601) 899-0002
(601) 899-0088
Mailing address
PO BOX 720610, BYRAM, MS 39272-0610
(601) 346-9191
(601) 346-5011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2321
MS
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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