Individual
MRS. KARLA JEAN DONOHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
300 RACE ST, WISCONSIN DELLS, WI 53965-1822
(608) 219-4293
Mailing address
300 RACE ST, WISCONSIN DELLS, WI 53965-1822
(608) 219-4293
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
133-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467665588
—
WI
05
—
40665100
—
WI
Enumeration date
05/07/2007
Last updated
11/27/2023
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