Individual
JENNIFER MARIE DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1051 WEST AVE, RICE LAKE, WI 54868-4425
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4137
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40867500
—
WI
Enumeration date
07/15/2010
Last updated
10/06/2022
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