Individual
DENNIS MATTHEW MCDONAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1450 E VENICE AVE, VENICE, FL 34292-3063
(941) 730-2772
(855) 232-8604
Mailing address
1450 E VENICE AVE, VENICE, FL 34292-3063
(941) 730-2772
(855) 232-8604
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13860
FL
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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