Individual
MRS. MARJORIE QUILIZA DONADIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1704 NC 39 HWY N, LOUISBURG, NC 27549-8329
(919) 496-7222
Mailing address
2908 CARRIAGE MEADOWS DR, WAKE FOREST, NC 27587-7052
(919) 909-8875
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16238
NC
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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