Individual
COLLIN MICHAEL DONADIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
5000 GREENBAG RD, MORGANTOWN, WV 26501-7163
(304) 292-0173
Mailing address
6 EDWIN ST, MORGANTOWN, WV 26501-8505
(304) 292-0173
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
WV
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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