Individual
SHARRON NICOLE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
11320 NE 49TH ST STE 208, VANCOUVER, WA 98682-6547
(971) 207-6550
Mailing address
6012 HIGHLAND DR, VANCOUVER, WA 98661-7144
(971) 207-6550
(503) 245-6013
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0T00002953
WA
225XP0200X
Pediatric Occupational Therapist
1021785
OR
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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